NPIMap

Organization Active NPI

Arlington Family Chiropractic PLLC

  • Chiropractor
  • Arlington, WA
National Provider Identifier
1205059474
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00003609 Issued in WA
Legal business name
ARLINGTON FAMILY CHIROPRACTIC PLLC
Practice address
20218 77TH Ave NE
Suite a
Arlington, WA 98223-4602
Phone
(360) 435-3900
Fax
(360) 435-1105
NPI assigned
Apr 10, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Shawn Gay, D.C.NPI 1578591566
Title
Owner
Phone
(360) 435-3900

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
Chiropractor 111N00000X CH00003609 WA Primary

Addresses

Primary practice location

20218 77TH Ave NE
Suite a
Arlington, WA 98223-4602

Mailing address

20218 77TH Ave NE
Suite a
Arlington, WA 98223-4602
Phone (360) 435-3900

Other identifiers 6

IdentifierTypeStateIssuer
130156OtherWALABORN AND INDUSTRIES
2542GAOtherWABLUE SHIELD
0151161OtherWALABOR AND INDUSTRIES
218748OtherWALABOR AND INDUSTRIES
0194568OtherWALABOR AND INDUSTRIES
210186OtherWALABOR AND INDUSTRIES

National Provider Directory

National Provider Directory

Locations

20308 77th Ave NE
Ste F
Arlington, WA 98223
Phone (360) 435-3900

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205059474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20218 77TH AVE NE",
            "address_2": "SUITE A",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982234602",
            "telephone_number": "360-435-3900",
            "fax_number": "360-435-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20218 77TH AVE NE",
            "address_2": "SUITE A",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982234602",
            "telephone_number": "360-435-3900",
            "fax_number": "360-435-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLINGTON FAMILY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAY",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-435-3900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABORN AND INDUSTRIES",
            "identifier": "130156",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "2542GA",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0151161",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "218748",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0194568",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "210186",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.