NPIMap

Organization Active NPI

Family Chiropractic Inc

  • Chiropractor
  • Centralia, WA
National Provider Identifier
1144353483
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FAMILY CHIROPRACTIC INC
Practice address
1101 Mellen St
Centralia, WA 98531-1173
Phone
(360) 330-1800
Fax
(360) 330-5866
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Authorized official

Name
Dr. Wade K Randall, DC
Title
President
Phone
(360) 330-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X WA Primary

Addresses

Primary practice location

1101 Mellen St
Centralia, WA 98531-1173

Mailing address

1101 Mellen St
Centralia, WA 98531-1173
Phone (360) 330-1800

National Provider Directory

National Provider Directory

Locations

1101 Mellen St
Centralia, WA 98531
Phone (360) 330-1800

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": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1144353483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 MELLEN ST",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985311173",
            "telephone_number": "360-330-1800",
            "fax_number": "360-330-5866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MELLEN ST",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985311173",
            "telephone_number": "360-330-1800",
            "fax_number": "360-330-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "WADE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-330-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centralia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.