Organization Active NPI

1St Choice Chiropractic PS

  • Chiropractor
  • Olympia, WA
National Provider Identifier
1114127487
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00033952 Issued in WA
Legal business name
1ST CHOICE CHIROPRACTIC PS
Practice address
2256 Mottman Rd
Suite C
Olympia, WA 98512
Phone
(360) 357-5222
Fax
(360) 786-9494
NPI assigned
Jul 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Authorized official

Name
Jason Syrek, D.C.
Title
President
Phone
(360) 357-5222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X CH00033952 WA Primary

Addresses

Primary practice location

2256 Mottman Rd
Suite C
Olympia, WA 98512

Mailing address

2256 Mottman Rd
Suite C
Olympia, WA 98512
Phone (360) 357-5222

Other identifiers 1

IdentifierTypeStateIssuer
AB29603MedicaidWA

National Provider Directory

National Provider Directory

Locations

5757 Capitol Blvd SW
Ste A
Tumwater, WA 98501
Phone (360) 357-5222

2256 Mottman Rd SW
Ste C
Tumwater, WA 98512
Phone (360) 357-5222

Practitioners & affiliated clinicians

Practitioners 4

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": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1114127487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2256 MOTTMAN RD",
            "address_2": "SUITE C",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98512",
            "telephone_number": "360-357-5222",
            "fax_number": "360-786-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2256 MOTTMAN RD",
            "address_2": "SUITE C",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98512",
            "telephone_number": "360-357-5222",
            "fax_number": "360-786-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST CHOICE CHIROPRACTIC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "SYREK",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-357-5222",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00033952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AB29603",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.