Active NPI
Advanced Chiropractic Health & Wellness Center
Doing business as Orting Chiropractic Health & Wellness Center
- Chiropractor
- Orting, WA
National Provider Identifier
1104991033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00003107
- Legal business name
- ADVANCED CHIROPRACTIC HEALTH & WELLNESS CENTER
- Doing business as
- Orting Chiropractic Health & Wellness Center
- Practice address
- 218 Washington Avenue S
Orting, WA 98360-1596 - Phone
- (360) 893-8586
- Fax
- (360) 893-3908
- NPI assigned
- Nov 24, 2006
- Last updated
- Jun 16, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Troy James Munson, D.C.
- Title
- Manager
- Phone
- (360) 893-8586
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00003107 | WA | Primary |
Addresses
Primary practice location
218 Washington Avenue S
Orting, WA 98360-1596
Mailing address
218 Washington Avenue S
Orting, WA 98360-1596
Phone (360) 893-8586
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005222583 | Other | WA | AETNA |
| 2026375 | Medicaid | WA | |
| 0152163 | Other | WA | STATE INDUSTRIAL |
| 611323100 | Other | WA | DEPARTMENT OF LABOR |
| P00294932 | Other | WA | RAILROAD MEDICARE |
| MU6654 | Other | WA | BLUE SHIELD |
Other names 1
- Orting Chiropractic Health & Wellness Center
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Chiropractor
- Orting, WA
- NPI 1073737375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213574400000",
"number": "1104991033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 WASHINGTON AVENUE S",
"city": "ORTING",
"state": "WA",
"postal_code": "983601596",
"telephone_number": "360-893-8586",
"fax_number": "360-893-3908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 WASHINGTON AVENUE S",
"city": "ORTING",
"state": "WA",
"postal_code": "983601596",
"telephone_number": "360-893-8586",
"fax_number": "360-893-3908"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED CHIROPRACTIC HEALTH & WELLNESS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-24",
"last_updated": "2008-06-16",
"status": "A",
"authorized_official_last_name": "MUNSON",
"authorized_official_first_name": "TROY",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "360-893-8586",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00003107",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0005222583",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2026375",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE INDUSTRIAL",
"identifier": "0152163",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF LABOR",
"identifier": "611323100",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00294932",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "MU6654",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Orting Chiropractic Health & Wellness Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Orting, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.