NPIMap

Organization Active NPI

Ballard Chiropractic Clinic, PS

  • Chiropractor
  • Seattle, WA
National Provider Identifier
1114129244
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002000 Issued in WA
Legal business name
BALLARD CHIROPRACTIC CLINIC, PS
Practice address
9015 Holman Rd NW
Suite 3
Seattle, WA 98117-3481
Phone
(206) 782-8500
Fax
(206) 784-4020
NPI assigned
Jun 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Authorized official

Name
Dr. Eric R Wechselberger, D.C.NPI 1720162928
Title
President, Owner
Phone
(206) 782-8500

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH00002000 WA Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MA00016624 WA
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MA00017258 WA
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MA00009765 WA

Addresses

Primary practice location

9015 Holman Rd NW
Suite 3
Seattle, WA 98117-3481

Mailing address

9015 Holman Rd NW
Suite 3
Seattle, WA 98117-3481
Phone (206) 782-8500

Other names 1

  • Ballard Chiropractic Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160331002728 WA Part B Supplier - Clinic/Group Practice 3971800285 Receives reassigned benefits from 1 practitioner
Practice locations: Seattle, WA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1114129244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9015 HOLMAN RD NW",
            "address_2": "SUITE 3",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981173481",
            "telephone_number": "206-782-8500",
            "fax_number": "206-784-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9015 HOLMAN RD NW",
            "address_2": "SUITE 3",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981173481",
            "telephone_number": "206-782-8500",
            "fax_number": "206-784-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALLARD CHIROPRACTIC CLINIC, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "WECHSELBERGER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "206-782-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002000",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00016624",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00017258",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00009765",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ballard Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.