Organization Active NPI

Blue Spring Chiropractc

  • Chiropractor
  • Lakewood, WA
National Provider Identifier
1093147191
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034360 Issued in WA
Legal business name
BLUE SPRING CHIROPRACTC
Practice address
9701 S Tacoma Way
106
Lakewood, WA 98499-4490
Phone
(253) 588-8340
Fax
(253) 588-8341
NPI assigned
Jul 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

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

Authorized official

Name
Dr. Steve Baek, DCNPI 1780783571
Title
Owner
Phone
(253) 588-8340

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00034360 WA Primary

Addresses

Primary practice location

9701 S Tacoma Way
106
Lakewood, WA 98499-4490

Mailing address

9701 S Tacoma Way
106
Lakewood, WA 98499-4490
Phone (253) 588-8340

National Provider Directory

National Provider Directory
Tax ID family
Blue Spring Chiropractc2 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

9701 South Tacoma Way
Ste 106
Lakewood, WA 98499
Phone (253) 588-8340

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1093147191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 S TACOMA WAY",
            "address_2": "106",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984994490",
            "telephone_number": "253-588-8340",
            "fax_number": "253-588-8341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 S TACOMA WAY",
            "address_2": "106",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984994490",
            "telephone_number": "253-588-8340",
            "fax_number": "253-588-8341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SPRING CHIROPRACTC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-31",
        "last_updated": "2013-07-31",
        "status": "A",
        "authorized_official_last_name": "BAEK",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-588-8340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.