Organization Active NPI

Westside Chiropractic Center PLLC

  • Chiropractor
  • Yakima, WA
National Provider Identifier
1093113532
Registry record updated Dec 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1033455548 Issued in WA
Legal business name
WESTSIDE CHIROPRACTIC CENTER PLLC
Practice address
3808 Tieton Dr
Suite #1
Yakima, WA 98902-3691
Phone
(509) 966-3421
Fax
(509) 972-0980
NPI assigned
Dec 16, 2014
Last updated
Dec 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2014

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

Authorized official

Name
Dr. Jorge A Barrientos, DC
Title
Manager
Phone
(509) 966-3421

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1033455548 WA Primary
Chiropractor 111N00000X 1558453027 WA

Addresses

Primary practice location

3808 Tieton Dr
Suite #1
Yakima, WA 98902-3691

Mailing address

3808 Tieton Dr
Suite #1
Yakima, WA 98902-3691
Phone (509) 966-3421

National Provider Directory

National Provider Directory

Locations

3808 Tieton Dr
Ste 1
Yakima, WA 98902
Phone (509) 901-9698

Practitioners & affiliated clinicians

Practitioners 2

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": "1418688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418688000000",
    "number": "1093113532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 TIETON DR",
            "address_2": "SUITE #1",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023691",
            "telephone_number": "509-966-3421",
            "fax_number": "509-972-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 TIETON DR",
            "address_2": "SUITE #1",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023691",
            "telephone_number": "509-966-3421",
            "fax_number": "509-972-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE CHIROPRACTIC CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-16",
        "last_updated": "2014-12-16",
        "status": "A",
        "authorized_official_last_name": "BARRIENTOS",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "509-966-3421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "1033455548",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "1558453027",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; 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.