Active NPI
New Life Chiropractic Inc PS
- Chiropractor
- Lynnwood, WA
National Provider Identifier
1083753396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00034176
- Legal business name
- NEW LIFE CHIROPRACTIC INC PS
- Practice address
- 19503 56TH Ave W
Ste a
Lynnwood, WA 98036-5225 - Phone
- (425) 776-8303
- Fax
- (425) 776-8363
- NPI assigned
- Feb 5, 2007
- 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
- Brice P Kovarik, DC
- Title
- President
- Phone
- (425) 776-8303
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00034176 | WA | Primary |
Addresses
Primary practice location
19503 56TH Ave W
Ste a
Lynnwood, WA 98036-5225
Mailing address
19503 56TH Ave W
Ste a
Lynnwood, WA 98036-5225
Phone (425) 776-8303
Other names 1
- New Life Chiropractic
National Provider Directory
National Provider DirectoryLocations
19503 56th Ave W
Ste A
Lynnwood, WA 98036
Phone (425) 776-8030
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Lynnwood, WA
- NPI 1457538621
-
- Chiropractor
- Lake Stevens, WA
- NPI 1700960135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1083753396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19503 56TH AVE W",
"address_2": "STE A",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980365225",
"telephone_number": "425-776-8303",
"fax_number": "425-776-8363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19503 56TH AVE W",
"address_2": "STE A",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980365225",
"telephone_number": "425-776-8303",
"fax_number": "425-776-8363"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW LIFE CHIROPRACTIC INC PS",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KOVARIK",
"authorized_official_first_name": "BRICE",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "425-776-8303",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00034176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "New Life Chiropractic",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.