NPIMap

Organization Active NPI

Olympic View Chiropractic, PS

  • Chiropractor
  • Everett, WA
National Provider Identifier
1093984486
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
601822073 Issued in WA
Legal business name
OLYMPIC VIEW CHIROPRACTIC, PS
Practice address
626 128TH St SW
Suite 103B
Everett, WA 98204-6368
Phone
(425) 513-1880
Fax
(425) 513-6161
NPI assigned
Feb 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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

Authorized official

Name
Dr. Gregory C. Zografos, DC
Title
Owner/Chiropractor
Phone
(425) 513-1880

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 601822073 WA Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MA00025054 WA

Addresses

Primary practice location

626 128TH St SW
Suite 103B
Everett, WA 98204-6368

Mailing address

626 128TH St SW
Suite 103B
Everett, WA 98204-6368
Phone (425) 513-1880

Other identifiers 4

IdentifierTypeStateIssuer
0058732OtherWALABOR & INDUSTRIES
408006001OtherWAGROUP HEALTH
R76533OtherWAREGNECE
0179721OtherWALABOR & INDUSTRIES

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110315000395 WA Part B Supplier - Clinic/Group Practice 8820270713 Receives reassigned benefits from 8 practitioners
Practice locations: Everett, WA

National Provider Directory

National Provider Directory

Locations

626 128th St SW
Ste 103B
Everett, WA 98204
Phone (425) 513-1880

Practitioners & affiliated clinicians

Practitioners 9

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": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300406400000",
    "number": "1093984486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 128TH ST SW",
            "address_2": "SUITE 103B",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982046368",
            "telephone_number": "425-513-1880",
            "fax_number": "425-513-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 128TH ST SW",
            "address_2": "SUITE 103B",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982046368",
            "telephone_number": "425-513-1880",
            "fax_number": "425-513-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIC VIEW CHIROPRACTIC, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2011-03-18",
        "status": "A",
        "authorized_official_last_name": "ZOGRAFOS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "425-513-1880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "601822073",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00025054",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0058732",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH",
            "identifier": "408006001",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGNECE",
            "identifier": "R76533",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0179721",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.