Organization Active NPI

Chiropractic Pain Relief Clinic, PS

  • Chiropractor
  • Snohomish, WA
National Provider Identifier
1083896468
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH33870 Issued in WA
Legal business name
CHIROPRACTIC PAIN RELIEF CLINIC, PS
Practice address
1207 13TH St
Suite G
Snohomish, WA 98290-2000
Phone
(360) 568-3121
Fax
(360) 568-9334
NPI assigned
Nov 28, 2007
Last updated
Nov 28, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Authorized official

Name
Dr. Milan Stojakovic, D.C.NPI 1073723946
Title
President
Phone
(360) 568-3121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH33870 WA Primary

Addresses

Primary practice location

1207 13TH St
Suite G
Snohomish, WA 98290-2000

Mailing address

PO Box 1151
Snohomish, WA 98291-1151
Phone (360) 568-3121

National Provider Directory

National Provider Directory

Locations

1201 13TH St Ste 5
Snohomish, WA 98290
Phone (360) 568-3121

1201 13TH St Ste 5
Snohomish, WA 98290
Phone (360) 568-3121

1207 13th St
Ste G
Snohomish, WA 98290
Phone (360) 568-3121

Practitioners & affiliated clinicians

Practitioners 4

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": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1083896468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1151",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982911151",
            "telephone_number": "360-568-3121",
            "fax_number": "360-568-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 13TH ST",
            "address_2": "SUITE G",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982902000",
            "telephone_number": "360-568-3121",
            "fax_number": "360-568-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC PAIN RELIEF CLINIC, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "STOJAKOVIC",
        "authorized_official_first_name": "MILAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-568-3121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH33870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snohomish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.