NPIMap

Organization Active NPI

McKenna Chiropractic Center PS

  • Chiropractor
  • Roy, WA
National Provider Identifier
1063698231
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MCKENNA CHIROPRACTIC CENTER PS
Practice address
9111 346TH St S Ste 3
Roy, WA 98580-8479
Phone
(360) 400-2002
NPI assigned
Jan 17, 2008
Last updated
Mar 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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

Authorized official

Name
Robert Winslow Sowers, D.O.
Title
Owner
Phone
(360) 400-2002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

9111 346TH St S Ste 3
Roy, WA 98580-8479

Mailing address

PO Box 1370
McKenna, WA 98558-1370

National Provider Directory

National Provider Directory

Locations

9111 346th St S
Ste 3
Roy, WA 98580
Phone (360) 400-2002

Practitioners & affiliated clinicians

Practitioners 6

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": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362355200000",
    "number": "1063698231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1370",
            "city": "MCKENNA",
            "state": "WA",
            "postal_code": "985581370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9111 346TH ST S STE 3",
            "city": "ROY",
            "state": "WA",
            "postal_code": "985808479",
            "telephone_number": "360-400-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKENNA CHIROPRACTIC CENTER PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2013-03-04",
        "status": "A",
        "authorized_official_last_name": "SOWERS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WINSLOW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-400-2002",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roy, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; 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.