Integrated Chiropractic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

CH 60153099 Issued in WA

Legal business name

INTEGRATED CHIROPRACTIC

Practice address

9220 Ridgetop Blvd.
Ste 100
Silverdale, WA 98383-8556

Phone

(360) 516-6296

Fax

(360) 308-0937

NPI assigned

Jan 12, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Sean Joseph, DCNPI 1346289998

Title

President / Owner/Provider

Phone

(360) 516-6296

Specialties & licenses 1

Addresses

Other names 1

• Integrated Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sean Joseph, DC

  • Chiropractor
  • Silverdale, WA
  • NPI 1346289998
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1023407343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9220 RIDGETOP BLVD.",
            "address_2": "STE 100",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838556",
            "telephone_number": "360-516-6296",
            "fax_number": "360-308-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 RIDGETOP BLVD.",
            "address_2": "STE 100",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838556",
            "telephone_number": "360-516-6296",
            "fax_number": "360-308-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-12",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "PRESIDENT / OWNER/PROVIDER",
        "authorized_official_telephone_number": "360-516-6296",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "CH 60153099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen Huston, RBT
• Phuong Anh Ngoc Huynh
• Kristina Marie Ieronimakis
• Illuminate.Me LLC
• Indigo Fountain Massage
• Justine B Jaacks
• Chelsea M Jack
• Erin Jackson
• Farrah Ashlee Jacobs
• Maia Jacoby, LICSW, MSW

• Clinic/Center in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.