Organization Active NPI

Wells Chiropractic

  • Exclusive Provider Organization
  • Renton, WA
National Provider Identifier
1083063960
Registry record updated Jun 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
MA60306414 Issued in WA
Legal business name
WELLS CHIROPRACTIC
Practice address
819 S 3Rd St
Renton, WA 98057-2737
Phone
(425) 687-2707
NPI assigned
Jun 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2016

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

Authorized official

Name
Annie Wang
Title
Office Manager
Phone
(425) 941-0558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X MA60306414 WA Primary

Addresses

Primary practice location

819 S 3Rd St
Renton, WA 98057-2737

Mailing address

819 S 3Rd St
Renton, WA 98057-2737
Phone (425) 687-2707

National Provider Directory

National Provider Directory

Locations

819 S 3rd St
Renton, WA 98057
Phone (425) 687-2707

NPI Registry JSON

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465516800000",
    "number": "1083063960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 S 3RD ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572737",
            "telephone_number": "425-687-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 S 3RD ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572737",
            "telephone_number": "425-687-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-10",
        "last_updated": "2016-06-10",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "425-941-0558"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "WA",
            "license": "MA60306414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; 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.