Organization Active NPI

Sylvan Chiropractic Center

  • Chiropractor
  • Bremerton, WA
National Provider Identifier
1124372446
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3043 Issued in WA
Legal business name
SYLVAN CHIROPRACTIC CENTER
Practice address
1018 Sylvan Way
Bremerton, WA 98310-2813
Phone
(360) 373-3026
Fax
(360) 373-5301
NPI assigned
Nov 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

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

Authorized official

Name
Dr. Rupa Dara, DCNPI 1629077417
Title
Owner
Phone
(360) 373-3026

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3043 WA Primary

Addresses

Primary practice location

1018 Sylvan Way
Bremerton, WA 98310-2813

Mailing address

1018 Sylvan Way
Bremerton, WA 98310-2813
Phone (360) 373-3026

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121203000254 WA Part B Supplier - Clinic/Group Practice 1456503127 Receives reassigned benefits from 1 practitioner
Practice locations: Bremerton, WA

National Provider Directory

National Provider Directory

Locations

1018 Sylvan Way
Bremerton, WA 98310
Phone (360) 373-3026

Practitioners & affiliated clinicians

Practitioners 1

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": "1352332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1124372446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 SYLVAN WAY",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983102813",
            "telephone_number": "360-373-3026",
            "fax_number": "360-373-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 SYLVAN WAY",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983102813",
            "telephone_number": "360-373-3026",
            "fax_number": "360-373-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYLVAN CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-08",
        "last_updated": "2012-11-08",
        "status": "A",
        "authorized_official_last_name": "DARA",
        "authorized_official_first_name": "RUPA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-373-3026",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "3043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; 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.