Chiropractic Healthcare Center, P S

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00034177 Issued in WA

Legal business name

CHIROPRACTIC HEALTHCARE CENTER, P S

Practice address

15324 Main St E Ste B
Sumner, WA 98390-2698

Phone

(253) 863-5323

Fax

(253) 863-2034

NPI assigned

Nov 15, 2006

Last updated

Dec 28, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Richard Quint Cockrell, D.C.NPI 1275610081

Title

D.C.

Phone

(253) 863-5323

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 5

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.

• Ranjiv Singh Bains, D.C.

  • Chiropractor
  • Sumner, WA
  • NPI 1174698583
  Medicare reassignment Care Compare group NPD
• Ronald Frank Conti, D.C.

  • Chiropractor
  • Sumner, WA
  • NPI 1538281563
  Medicare reassignment Care Compare group NPD
• Richard Quint Cockrell, D.C.

  • Chiropractor
  • Sumner, WA
  • NPI 1275610081
  Authorized official Same address or phone
• Lisa Marie Barber, L.M.P.

  • Massage Therapist
  • Puyallup, WA
  • NPI 1760556500
  NPD (past)
• Tyisha Deanne Coleman, MA60182845

  • Massage Therapist
  • Federal Way, WA
  • NPI 1740599901
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325030400000",
    "number": "1093887663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15324 MAIN ST E STE B",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983902698",
            "telephone_number": "253-863-5323",
            "fax_number": "253-863-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15324 MAIN ST E STE B",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983902698",
            "telephone_number": "253-863-5323",
            "fax_number": "253-863-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC HEALTHCARE CENTER, P S",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2011-12-28",
        "status": "A",
        "authorized_official_last_name": "COCKRELL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "QUINT",
        "authorized_official_title_or_position": "D.C.",
        "authorized_official_telephone_number": "253-863-5323",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LNI GROUP",
            "identifier": "119433",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "CH00034177",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBI NUMBER",
            "identifier": "601367608",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gloria D Bullo
• Gayle Butcher, COTA/L
• Jeremy B Calkins, PT
• Carebridge Nurse Delegation Services, LLC
• Chet Jenkins II PC (Ziegele Smile Studio)
• Christine Ellen Christian, MA LMHC
• Sean Alan Christiansen, D.D.S
• Christy Christian Ma, LMHC, LLC
• Richard Quint Cockrell, D.C.
• Colton/Christiansen PLLC (Plaza 410 Dental Associates)

• Chiropractor in Sumner, WA
• Providers in Sumner, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; 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.