Organization Active NPI

Wapato Chiropractic Clinic, PLLC

  • Chiropractor
  • Wapato, WA
National Provider Identifier
1114224821
Registry record updated Feb 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00001450 Issued in WA
Legal business name
WAPATO CHIROPRACTIC CLINIC, PLLC
Practice address
715 W 1St St
Wapato, WA 98951-1152
Phone
(509) 877-4774
NPI assigned
Feb 15, 2011
Last updated
Feb 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2011

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

Authorized official

Name
Dr. Robert Kelley, DC
Title
Manager
Phone
(509) 877-4774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00001450 WA Primary

Addresses

Primary practice location

715 W 1St St
Wapato, WA 98951-1152

Mailing address

715 W 1St St
Wapato, WA 98951-1152
Phone (509) 877-4774

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1114224821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 W 1ST ST",
            "city": "WAPATO",
            "state": "WA",
            "postal_code": "989511152",
            "telephone_number": "509-877-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 W 1ST ST",
            "city": "WAPATO",
            "state": "WA",
            "postal_code": "989511152",
            "telephone_number": "509-877-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAPATO CHIROPRACTIC CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-15",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "509-877-4774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wapato, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; 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.