NPIMap

Organization Active NPI

Bay Center Chiropractic Clinic

  • Chiropractor
  • Olympia, WA
National Provider Identifier
1043365489
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002578 Issued in WA
Legal business name
BAY CENTER CHIROPRACTIC CLINIC
Practice address
2627 Capitol Mall Dr SW
Steb3A
Olympia, WA 98502-8696
Phone
(360) 786-6322
Fax
(360) 786-5677
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Brian L Wilmovsky, D.C.
Title
Owner
Phone
(360) 786-6322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH00002578 WA Primary

Addresses

Primary practice location

2627 Capitol Mall Dr SW
Steb3A
Olympia, WA 98502-8696

Mailing address

2627 Capitol Mall Dr SW
Steb3A
Olympia, WA 98502-8696
Phone (360) 786-6322

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043365489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 CAPITOL MALL DR SW",
            "address_2": "STEB3A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028696",
            "telephone_number": "360-786-6322",
            "fax_number": "360-786-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 CAPITOL MALL DR SW",
            "address_2": "STEB3A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028696",
            "telephone_number": "360-786-6322",
            "fax_number": "360-786-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY CENTER CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILMOVSKY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-786-6322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.