NPIMap

Organization Active NPI

Chehalis Chiropractic Clinic, PS

  • Chiropractor
  • Chehalis, WA
National Provider Identifier
1104988963
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002421 Issued in WA
Legal business name
CHEHALIS CHIROPRACTIC CLINIC, PS
Practice address
876 S Market Blvd
Chehalis, WA 98532-3422
Phone
(360) 748-1301
NPI assigned
Dec 15, 2006
Last updated
Apr 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Harold Timothy Shelton, D.C.
Title
President
Phone
(360) 748-1301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00002421 WA Primary

Addresses

Primary practice location

876 S Market Blvd
Chehalis, WA 98532-3422

Mailing address

876 S Market Blvd
Chehalis, WA 98532-3422
Phone (360) 748-1301

National Provider Directory

National Provider Directory

Locations

876 S Market Blvd
Chehalis, WA 98532
Phone (360) 748-1301

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1104988963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "876 S MARKET BLVD",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985323422",
            "telephone_number": "360-748-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "876 S MARKET BLVD",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985323422",
            "telephone_number": "360-748-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEHALIS CHIROPRACTIC CLINIC, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-748-1301",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chehalis, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.