NPIMap

Organization Active NPI

Foundation Chiropractic P.S.

  • Chiropractor
  • Auburn, WA
National Provider Identifier
1154788511
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 60089456 Issued in WA
Legal business name
FOUNDATION CHIROPRACTIC P.S.
Practice address
1118 Outlet Collection Way
Ste 101
Auburn, WA 98001
Phone
(253) 269-0261
Fax
(253) 269-0202
NPI assigned
Jan 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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

Authorized official

Name
Dr. Rustin Robert Schreiner, D.C.NPI 1184855413
Title
Director
Phone
(253) 269-0261

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X CH 60101664 WA
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X CH 60089456 WA Primary

Addresses

Primary practice location

1118 Outlet Collection Way
Ste 101
Auburn, WA 98001

Mailing address

1118 Outlet Collection Way
Ste 101
Auburn, WA 98001
Phone (253) 269-0261

Other names 1

  • Life Force Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161003002308 WA Part B Supplier - Clinic/Group Practice 8123315314 Receives reassigned benefits from 2 practitioners
Practice locations: Auburn, WA

National Provider Directory

National Provider Directory

Locations

1118 Outlet Collection Way SW
Ste 101
Auburn, WA 98001
Phone (253) 269-0261

Practitioners & affiliated clinicians

Practitioners 5

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": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1154788511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 OUTLET COLLECTION WAY",
            "address_2": "STE 101",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "98001",
            "telephone_number": "253-269-0261",
            "fax_number": "253-269-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 OUTLET COLLECTION WAY",
            "address_2": "STE 101",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "98001",
            "telephone_number": "253-269-0261",
            "fax_number": "253-269-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION CHIROPRACTIC P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "SCHREINER",
        "authorized_official_first_name": "RUSTIN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "253-269-0261",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH 60101664",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH 60089456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Force Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; 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.