Organization Active NPI

Nash Chiropractic PS

  • Chiropractor
  • Edmonds, WA
National Provider Identifier
1134319650
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00003646 Issued in WA
Legal business name
NASH CHIROPRACTIC PS
Practice address
23303 Hwy 99 Ste G
Edmonds, WA 98026-8762
Phone
(425) 697-5188
NPI assigned
Jul 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Authorized official

Name
Dr. Matthew D Nash, D.C.NPI 1013078633
Title
Owner
Phone
(425) 697-5188

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: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH00003646 WA Primary

Addresses

Primary practice location

23303 Hwy 99 Ste G
Edmonds, WA 98026-8762

Mailing address

23303 Hwy 99 Ste G
Edmonds, WA 98026-8762
Phone (425) 697-5188

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120508000754 WA Part B Supplier - Clinic/Group Practice 7719149764 Receives reassigned benefits from 1 practitioner
Practice locations: Edmonds, WA

National Provider Directory

National Provider Directory

Locations

23303 Highway 99
Ste G
Edmonds, WA 98026
Phone (425) 697-5188

Practitioners & affiliated clinicians

Practitioners 7

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": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1134319650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23303 HWY 99 STE G",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980268762",
            "telephone_number": "425-697-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23303 HWY 99 STE G",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980268762",
            "telephone_number": "425-697-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASH CHIROPRACTIC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "NASH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-697-5188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.