Individual provider Active NPI

Wai P Yip, DC

  • Chiropractor
  • Gig Harbor, WA
National Provider Identifier
1003977844
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00001106 Issued in WA
Practice address
3312 Rosedale St NW
Suite 104
Gig Harbor, WA 98335-1804
Phone
(253) 851-1733
Fax
(253) 851-4333
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00001106 WA Primary

Addresses

Primary practice location

3312 Rosedale St NW
Suite 104
Gig Harbor, WA 98335-1804

Mailing address

PO Box 1206
Gig Harbor, WA 98335-3206
Phone (253) 851-1733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050607001291 WA Practitioner - Chiropractic 2264475540 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH00001106WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice of Chiropractic Inc. P.S. Chiropractor CurrentSince Dec 31, 2012 Accepting new patients

Locations

3312 Rosedale St
Ste 104
Gig Harbor, WA 98335
Phone (253) 851-1733

3102 Bridgeport Way W
University Place, WA 98466
Phone (253) 565-0476

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003977844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1206",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983353206",
            "telephone_number": "253-851-1733",
            "fax_number": "253-851-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3312 ROSEDALE ST NW",
            "address_2": "SUITE 104",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351804",
            "telephone_number": "253-851-1733",
            "fax_number": "253-851-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YIP",
        "first_name": "WAI",
        "middle_name": "P",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.