NPIMap

Organization Active NPI

Still Well Chiropractic Clinic Inc

  • Chiropractor
  • Tacoma, WA
National Provider Identifier
1104961093
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
STILL WELL CHIROPRACTIC CLINIC INC
Practice address
4537 S Yakima
Tacoma, WA 98418
Phone
(253) 475-3334
Fax
(253) 475-0875
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Authorized official

Name
Dr. Kenneth Ray Stillwell, DCNPI 1790960813
Title
Owner Provider
Phone
(253) 475-3334

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 Primary

Addresses

Primary practice location

4537 S Yakima
Tacoma, WA 98418

Mailing address

4537 S Yakima
Tacoma, WA 98418
Phone (253) 475-3334

Other names 1

  • Heritage Chiropractic Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1104961093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4537 S YAKIMA",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98418",
            "telephone_number": "253-475-3334",
            "fax_number": "253-475-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4537 S YAKIMA",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98418",
            "telephone_number": "253-475-3334",
            "fax_number": "253-475-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILL WELL CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "STILLWELL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER PROVIDER",
        "authorized_official_telephone_number": "253-475-3334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.