NPIMap

Organization Active NPI

Woodinville Chiropractic, PS

  • Clinic/Center
  • Woodinville, WA
National Provider Identifier
1184049991
Registry record updated Mar 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
CH 60342432 Issued in WA
Legal business name
WOODINVILLE CHIROPRACTIC, PS
Practice address
17630 140TH Ave NE
Ste a
Woodinville, WA 98072-6876
Phone
(425) 398-3900
Fax
(425) 398-3907
NPI assigned
Mar 3, 2014
Last updated
Mar 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2014

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

Authorized official

Name
Dr. Myron Gudmundson, D.C.NPI 1083050496
Title
Owner
Phone
(425) 398-3900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X CH 60342432 WA Primary

Addresses

Primary practice location

17630 140TH Ave NE
Ste a
Woodinville, WA 98072-6876

Mailing address

17630 140TH Ave NE
Ste a
Woodinville, WA 98072-6876
Phone (425) 398-3900

National Provider Directory

National Provider Directory

Locations

17630 140th Ave NE
Ste A
Woodinville, WA 98072
Phone (425) 398-3900

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1184049991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17630 140TH AVE NE",
            "address_2": "STE A",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980726876",
            "telephone_number": "425-398-3900",
            "fax_number": "425-398-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17630 140TH AVE NE",
            "address_2": "STE A",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980726876",
            "telephone_number": "425-398-3900",
            "fax_number": "425-398-3907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODINVILLE CHIROPRACTIC, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-03",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "GUDMUNDSON",
        "authorized_official_first_name": "MYRON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-398-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "CH 60342432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodinville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.