Organization Active NPI

North Sound Clinics, LLC

Doing business as North Sound Chiropractic

  • Independent Medical Examiner Chiropractor
  • Anacortes, WA
National Provider Identifier
1124506639
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X
License
CH60880594 Issued in WA
Legal business name
NORTH SOUND CLINICS, LLC
Doing business as
North Sound Chiropractic
Practice address
3218 R Ave Ste a
Anacortes, WA 98221-3489
Phone
(360) 299-8999
NPI assigned
Aug 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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

Authorized official

Name
Dr. Peter Harold Devries Jr., DCNPI 1255819769
Title
Chiropractor
Phone
(360) 299-8999

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
Independent Medical Examiner ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NI0013X CH60880594 WA Primary

Addresses

Primary practice location

3218 R Ave Ste a
Anacortes, WA 98221-3489

Mailing address

3218 R Ave Ste a
Anacortes, WA 98221-3489
Phone (360) 299-8999

Other names 1

  • North Sound Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181024002255 WA Part B Supplier - Clinic/Group Practice 8921351727 Receives reassigned benefits from 1 practitioner
Practice locations: Anacortes, WA

National Provider Directory

National Provider Directory

Locations

3218 R Ave
Ste A
Anacortes, WA 98221
Phone (360) 299-8999

Practitioners & affiliated clinicians

Practitioners 2

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": "1533513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540339200000",
    "number": "1124506639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3218 R AVE STE A",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982213489",
            "telephone_number": "360-299-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3218 R AVE STE A",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982213489",
            "telephone_number": "360-299-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SOUND CLINICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-06",
        "last_updated": "2018-10-24",
        "status": "A",
        "authorized_official_last_name": "DEVRIES",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "360-299-8999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "WA",
            "license": "CH60880594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Sound Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anacortes, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.