Active NPI
Wells Chiropractic
- Exclusive Provider Organization
- Renton, WA
National Provider Identifier
1083063960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- License
- MA60306414
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.