Organization Active NPI

Strait Chiropractic P S

  • Chiropractor
  • Sequim, WA
National Provider Identifier
1043392533
Registry record updated Jan 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2923 Issued in WA
Legal business name
STRAIT CHIROPRACTIC P S
Practice address
20 Lee Chatfield Ave.
Sequim, WA 98382
Phone
(360) 681-4322
Fax
(360) 683-5569
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2008

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

Authorized official

Name
Dr. David Eugene Gauthun, DCNPI 1326082017
Title
President
Phone
(360) 681-4322

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2923 WA Primary

Addresses

Primary practice location

20 Lee Chatfield Ave.
Sequim, WA 98382

Mailing address

PO Box 2401
Sequim, WA 98382-2401
Phone (360) 681-4322

Other identifiers 1

IdentifierTypeStateIssuer
37037OtherWAL&I

Other names 1

  • Gauthun Chiropracitc Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080114000377 WA Part B Supplier - Clinic/Group Practice 9234210410 Receives reassigned benefits from 2 practitioners
Practice locations: Sequim, WA

National Provider Directory

National Provider Directory

Locations

20 Lee Chatfield Way
Sequim, WA 98382
Phone (360) 681-4322

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": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201219200000",
    "number": "1043392533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2401",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983822401",
            "telephone_number": "360-681-4322",
            "fax_number": "360-683-5569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 LEE CHATFIELD AVE.",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "98382",
            "telephone_number": "360-681-4322",
            "fax_number": "360-683-5569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRAIT CHIROPRACTIC P S",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2008-01-25",
        "status": "A",
        "authorized_official_last_name": "GAUTHUN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-681-4322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "2923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "37037",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gauthun Chiropracitc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sequim, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; 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.