Organization Active NPI

Pullman Chiropractic Clinic, PLLC

Doing business as Pullman Chiropractic Clinic

  • Clinic/Center
  • Pullman, WA
National Provider Identifier
1174712095
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
CH00033991 Issued in WA
Legal business name
PULLMAN CHIROPRACTIC CLINIC, PLLC
Doing business as
Pullman Chiropractic Clinic
Practice address
1125 NW Nye St
Suite C
Pullman, WA 99163-3430
Phone
(509) 332-2225
Fax
(509) 332-2228
NPI assigned
Oct 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Authorized official

Name
Mr. Chris D Volk
Title
Office Manager
Phone
(509) 332-2225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X CH00033991 WA Primary

Addresses

Primary practice location

1125 NW Nye St
Suite C
Pullman, WA 99163-3430

Mailing address

1125 NW Nye St
Suite C
Pullman, WA 99163-3430
Phone (509) 332-2225

Other identifiers 1

IdentifierTypeStateIssuer
GAB21380OtherWAMEDICARE ID

Other names 1

  • Pullman Chiropractic Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071121000599 WA Part B Supplier - Clinic/Group Practice 3577651744 Receives reassigned benefits from 1 practitioner
Practice locations: Pullman, WA

National Provider Directory

National Provider Directory

Locations

1125 NW Nye St
Ste C
Pullman, WA 99163
Phone (503) 332-2225

Practitioners & affiliated clinicians

Practitioners 4

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": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377129600000",
    "number": "1174712095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 NW NYE ST",
            "address_2": "SUITE C",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991633430",
            "telephone_number": "509-332-2225",
            "fax_number": "509-332-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 NW NYE ST",
            "address_2": "SUITE C",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991633430",
            "telephone_number": "509-332-2225",
            "fax_number": "509-332-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULLMAN CHIROPRACTIC CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2013-08-22",
        "status": "A",
        "authorized_official_last_name": "VOLK",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-332-2225",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "CH00033991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "GAB21380",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pullman Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pullman, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; 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.