Organization Active NPI

Simply Chiropractic, Inc.

  • Chiropractor
  • Bellevue, WA
National Provider Identifier
1154689461
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00003597 Issued in WA
Legal business name
SIMPLY CHIROPRACTIC, INC.
Practice address
13400 NE 20TH St
Suite 8
Bellevue, WA 98005-2099
Phone
(425) 641-2822
Fax
(866) 922-2457
NPI assigned
Apr 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Authorized official

Name
Dr. Karen E Shepard, DC
Title
Owner
Phone
(425) 641-2822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00003597 WA Primary

Addresses

Primary practice location

13400 NE 20TH St
Suite 8
Bellevue, WA 98005-2099

Mailing address

13400 NE 20TH St
Suite 8
Bellevue, WA 98005-2099
Phone (425) 641-2822

National Provider Directory

National Provider Directory

Locations

13400 NE 20th St
Ste 8
Bellevue, WA 98005
Phone (360) 279-9955

NPI Registry JSON

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1154689461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13400 NE 20TH ST",
            "address_2": "SUITE 8",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052099",
            "telephone_number": "425-641-2822",
            "fax_number": "866-922-2457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 NE 20TH ST",
            "address_2": "SUITE 8",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052099",
            "telephone_number": "425-641-2822",
            "fax_number": "866-922-2457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-25",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "SHEPARD",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-641-2822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; 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.