Individual provider Active NPI

Annette Garza, D.C.

  • Chiropractor
  • Tacoma, WA
National Provider Identifier
1164493953
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
111N00000X Issued in TX
Practice address
601 S Pine St Ste 201
Tacoma, WA 98405-2795
Phone
(253) 396-1000
Fax
(253) 396-1012
NPI assigned
Jan 30, 2006
Last updated
Mar 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 111N00000X TX Primary

Addresses

Primary practice location

601 S Pine St Ste 201
Tacoma, WA 98405-2795

Mailing address

601 S Pine St Ste 201
Tacoma, WA 98405-2795
Phone (253) 396-1000

Other identifiers 1

IdentifierTypeStateIssuer
CH60494159OtherWAWA STATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150319002675 WA Practitioner - Chiropractic 2365472297 Reassigns benefits to 1 organization
Practice locations: Tacoma, WA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyford Chiropractic PLLCGroup PAC ID 9931268356, 6 clinicians

Practice addresses (Care Compare)

601 S Pine St
Suite 201
Tacoma, WA 98405-2795
Phone (253) 396-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9961TXMDBehavioral Analyst
111N00000XTXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Tacoma Chiropractic Health Connection Chiropractor CurrentSince Jan 1, 2024 Accepting new patients
E1Spine PLLC Chiropractor CurrentSince Jan 1, 2024 Accepting new patients

Locations

601 S Pine St
Ste 201
Tacoma, WA 98405
Phone (253) 396-1000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1164493953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S PINE ST STE 201",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052795",
            "telephone_number": "253-396-1000",
            "fax_number": "253-396-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S PINE ST STE 201",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052795",
            "telephone_number": "253-396-1000",
            "fax_number": "253-396-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARZA",
        "first_name": "ANNETTE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2024-03-18",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "111N00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE LICENSE",
            "identifier": "CH60494159",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.