NPIMap

Organization Active NPI

Ty C Westenhaver

  • Chiropractor
  • Lynnwood, WA
National Provider Identifier
1194997098
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00001933 Issued in WA
Legal business name
TY C WESTENHAVER
Practice address
7127 196TH St SW Suite 101
Lynnwood, WA 98036-5078
Phone
(425) 775-6986
Fax
(425) 774-3651
NPI assigned
Mar 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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

Authorized official

Name
Dr. Ty Charles Westenhaver, DCNPI 1073571501
Title
Owner
Phone
(425) 775-6986

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 CH00001933 WA Primary

Addresses

Primary practice location

7127 196TH St SW Suite 101
Lynnwood, WA 98036-5078

Mailing address

7127 196TH St SW Suite 101
Lynnwood, WA 98036-5078
Phone (425) 775-6986

Other names 1

  • Westenhaver 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
O20040316001315 WA Part B Supplier - Clinic/Group Practice 2961392758 Receives reassigned benefits from 2 practitioners
Practice locations: Lynnwood, WA

National Provider Directory

National Provider Directory

Locations

7528 196th St SW
Ste B
Lynnwood, WA 98036
Phone (425) 775-6986

7127 196th St SW
Ste 101
Lynnwood, WA 98036
Phone (425) 775-6986

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": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360022400000",
    "number": "1194997098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7127 196TH ST SW SUITE 101",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365078",
            "telephone_number": "425-775-6986",
            "fax_number": "425-774-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7127 196TH ST SW SUITE 101",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365078",
            "telephone_number": "425-775-6986",
            "fax_number": "425-774-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TY C WESTENHAVER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2013-02-05",
        "status": "A",
        "authorized_official_last_name": "WESTENHAVER",
        "authorized_official_first_name": "TY",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-775-6986",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westenhaver Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynnwood, WA

Sources for this page

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