NPIMap

Organization Active NPI

Vision Quest Chiropractic Puyallup Inc

  • Chiropractor
  • Puyallup, WA
National Provider Identifier
1093099954
Registry record updated Jun 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00000909 Issued in WA
Legal business name
VISION QUEST CHIROPRACTIC PUYALLUP INC
Practice address
13333 Meridian E
Ste H
Puyallup, WA 98373-2405
Phone
(253) 200-4401
Fax
(253) 200-4402
NPI assigned
Oct 10, 2011
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
Erwin L Gemmer, DCNPI 1043432958
Title
President
Phone
(360) 692-7321

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00000909 WA Primary

Addresses

Primary practice location

13333 Meridian E
Ste H
Puyallup, WA 98373-2405

Mailing address

9414 Ridgetop Blvd NW
Silverdale, WA 98383-8526
Phone (360) 308-0250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140116001853 WA Part B Supplier - Clinic/Group Practice 5698903755 Receives reassigned benefits from 2 practitioners
Practice locations: Puyallup, WA

National Provider Directory

National Provider Directory
Tax ID family
Life Force Chiropractic of Puyallup Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9414 Ridgetop Blvd NW
Silverdale, WA 98383
Phone (360) 286-2647

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": "1318204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465516800000",
    "number": "1093099954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9414 RIDGETOP BLVD NW",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838526",
            "telephone_number": "360-308-0250",
            "fax_number": "360-308-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13333 MERIDIAN E",
            "address_2": "STE H",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983732405",
            "telephone_number": "253-200-4401",
            "fax_number": "253-200-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION QUEST CHIROPRACTIC PUYALLUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-10",
        "last_updated": "2016-06-10",
        "status": "A",
        "authorized_official_last_name": "GEMMER",
        "authorized_official_first_name": "ERWIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-692-7321",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00000909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.