NPIMap

Organization Active NPI

Matthew Waldron DC

Doing business as Waldron Chiropractic

  • Chiropractor
  • Mountlake Terrace, WA
National Provider Identifier
1043726615
Registry record updated Dec 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00003315 Issued in WA
Legal business name
MATTHEW WALDRON DC
Doing business as
Waldron Chiropractic
Practice address
23009 56TH Ave W Ste B
Mountlake Terrace, WA 98043-4713
Phone
(425) 778-9600
Fax
(425) 332-7018
NPI assigned
Dec 19, 2017
Last updated
Dec 19, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2017

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

Authorized official

Name
Dr. Matthew Kevin Waldron, DCNPI 1467526277
Title
Owner
Phone
(425) 778-9600

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 CH00003315 WA Primary

Addresses

Primary practice location

23009 56TH Ave W Ste B
Mountlake Terrace, WA 98043-4713

Mailing address

23009 56TH Ave W Ste B
Mountlake Terrace, WA 98043-4713
Phone (425) 778-9600

Other identifiers 1

IdentifierTypeStateIssuer
110587OtherWAWA L&I

Other names 1

  • Waldron Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

23009 56th Ave W
#B
Mountlake Terrace, WA 98043
Phone (425) 248-2174

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513641600000",
    "number": "1043726615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23009 56TH AVE W STE B",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980434713",
            "telephone_number": "425-778-9600",
            "fax_number": "425-332-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23009 56TH AVE W STE B",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980434713",
            "telephone_number": "425-778-9600",
            "fax_number": "425-332-7018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW WALDRON DC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-19",
        "last_updated": "2017-12-19",
        "status": "A",
        "authorized_official_last_name": "WALDRON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-778-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA L&I",
            "identifier": "110587",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waldron Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mountlake Terrace, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; 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.