NPIMap

Organization Active NPI

Seattle Life Chiropractic

  • Chiropractor
  • Seattle, WA
National Provider Identifier
1215195441
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00033763 Issued in WA
Legal business name
SEATTLE LIFE CHIROPRACTIC
Practice address
323 Queen Anne Ave N
Suite 1
Seattle, WA 98109-4543
Phone
(206) 352-8191
Fax
(206) 352-8190
NPI assigned
May 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2008

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

Authorized official

Name
Ms. Deadra Dawnyea Phillips, OM
Title
Office Manager
Phone
(206) 352-8191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH00033763 WA Primary

Addresses

Primary practice location

323 Queen Anne Ave N
Suite 1
Seattle, WA 98109-4543

Mailing address

323 Queen Anne Ave N
Suite 1
Seattle, WA 98109-4543
Phone (206) 352-8191

National Provider Directory

National Provider Directory

Locations

323 Queen Anne Ave N
Ste 1
Seattle, WA 98109
Phone (206) 352-8191

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": "1211500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1215195441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 QUEEN ANNE AVE N",
            "address_2": "SUITE 1",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981094543",
            "telephone_number": "206-352-8191",
            "fax_number": "206-352-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 QUEEN ANNE AVE N",
            "address_2": "SUITE 1",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981094543",
            "telephone_number": "206-352-8191",
            "fax_number": "206-352-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEATTLE LIFE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-23",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "DEADRA",
        "authorized_official_middle_name": "DAWNYEA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "206-352-8191",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OM"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00033763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; 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.