NPIMap

Organization Active NPI

Wolf Chiropractic Center PS Inc

  • Chiropractor
  • Federal Way, WA
National Provider Identifier
1063697464
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2631 Issued in WA
Legal business name
WOLF CHIROPRACTIC CENTER PS INC
Practice address
622 S 320TH St Ste B
Federal Way, WA 98003-5263
Phone
(206) 818-6870
Fax
(253) 838-0505
NPI assigned
Jan 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Authorized official

Name
Dr. Jeanine J Wolf-Richter, D.C.NPI 1316002330
Title
President
Phone
(253) 838-7300

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 2631 WA Primary

Addresses

Primary practice location

622 S 320TH St Ste B
Federal Way, WA 98003-5263

Mailing address

622 S 320TH St Ste B
Federal Way, WA 98003-5263
Phone (206) 818-6870

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040423000628 WA Part B Supplier - Clinic/Group Practice 3072509009 Receives reassigned benefits from 1 practitioner
Practice locations: Federal Way, WA

National Provider Directory

National Provider Directory

Locations

1100 Station Dr
Ste 241
DuPont, WA 98327
Phone (253) 861-1044

1010 S 336th St
Ste 102
Federal Way, WA 98003
Phone (253) 838-7300

622 S 320th St
Ste B
Federal Way, WA 98003
Phone (206) 818-6870

Practitioners & affiliated clinicians

Practitioners 11

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": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1063697464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 S 320TH ST STE B",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035263",
            "telephone_number": "206-818-6870",
            "fax_number": "253-838-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 S 320TH ST STE B",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035263",
            "telephone_number": "206-818-6870",
            "fax_number": "253-838-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLF CHIROPRACTIC CENTER PS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "WOLF-RICHTER",
        "authorized_official_first_name": "JEANINE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-838-7300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "2631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.