Organization Active NPI

Advanced Chiropractic Health & Wellness Center

Doing business as Orting Chiropractic Health & Wellness Center

  • Chiropractor
  • Orting, WA
National Provider Identifier
1104991033
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00003107 Issued in WA
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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.NPI 1073737375
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0005222583OtherWAAETNA
2026375MedicaidWA
0152163OtherWASTATE INDUSTRIAL
611323100OtherWADEPARTMENT OF LABOR
P00294932OtherWARAILROAD MEDICARE
MU6654OtherWABLUE SHIELD

Other names 1

  • Orting Chiropractic Health & Wellness Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.