Organization Active NPI

Nyren Chiropractic Center, LLC

  • Chiropractor
  • Lakewood, WA
National Provider Identifier
1124736913
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NYREN CHIROPRACTIC CENTER, LLC
Practice address
10828 Gravelly Lake Dr SW Ste 108
Lakewood, WA 98499-1300
Phone
(253) 588-9731
Fax
(253) 588-9731
NPI assigned
Nov 9, 2022
Last updated
Nov 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Authorized official

Name
Mr. Carl M Nyren, DCNPI 1245392125
Title
Owner
Phone
(253) 588-9731

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

10828 Gravelly Lake Dr SW Ste 108
Lakewood, WA 98499-1300

Mailing address

10828 Gravelly Lake Dr SW Ste 108
Lakewood, WA 98499-1300
Phone (253) 588-9731

National Provider Directory

National Provider Directory

Locations

10828 Gravelly Lake Dr SW
Ste 108
Tacoma, WA 98499
Phone (253) 588-9731

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1124736913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10828 GRAVELLY LAKE DR SW STE 108",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984991300",
            "telephone_number": "253-588-9731",
            "fax_number": "253-588-9731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10828 GRAVELLY LAKE DR SW STE 108",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984991300",
            "telephone_number": "253-588-9731",
            "fax_number": "253-588-9731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYREN CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-09",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "NYREN",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-588-9731",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.