NPIMap

Organization Active NPI

Family Practice of Chiropractic Inc. P.S.

  • Chiropractor
  • Gig Harbor, WA
National Provider Identifier
1184969974
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00001106 Issued in WA
Legal business name
FAMILY PRACTICE OF CHIROPRACTIC INC. P.S.
Practice address
3312 Rosedale St. N.W.
Suite 104
Gig Harbor, WA 98335
Phone
(253) 851-1733
Fax
(253) 851-4333
NPI assigned
Dec 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

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

Authorized official

Name
Dr. Wai PO Yip, D.C.NPI 1003977844
Title
President
Phone
(253) 851-1733

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00001106 WA Primary

Addresses

Primary practice location

3312 Rosedale St. N.W.
Suite 104
Gig Harbor, WA 98335

Mailing address

P.O. Box 1206
Gig Harbor, WA 98335
Phone (253) 851-1733

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130730000544 WA Part B Supplier - Clinic/Group Practice 8224279443 Receives reassigned benefits from 1 practitioner
Practice locations: University Place, WA

National Provider Directory

National Provider Directory

Locations

3312 Rosedale St
Ste 104
Gig Harbor, WA 98335
Phone (253) 851-1733

3102 Bridgeport Way W
University Place, WA 98466
Phone (253) 565-0476

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": "1354665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1184969974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1206",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "98335",
            "telephone_number": "253-851-1733",
            "fax_number": "253-851-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3312 ROSEDALE ST. N.W.",
            "address_2": "SUITE 104",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "98335",
            "telephone_number": "253-851-1733",
            "fax_number": "253-851-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRACTICE OF CHIROPRACTIC INC. P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-05",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "YIP",
        "authorized_official_first_name": "WAI",
        "authorized_official_middle_name": "PO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-851-1733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.