Organization Active NPI

Ernst Chiropractic Clinic PS

  • Chiropractor
  • Arlington, WA
National Provider Identifier
1225219447
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2486 Issued in WA
Legal business name
ERNST CHIROPRACTIC CLINIC PS
Practice address
16714 Smokey Point Blvd
Arlington, WA 98223-8410
Phone
(360) 659-8464
Fax
(360) 659-3044
NPI assigned
Nov 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Authorized official

Name
Dr. Loren Ernst, D.C.
Title
President
Phone
(360) 659-8464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2486 WA Primary

Addresses

Primary practice location

16714 Smokey Point Blvd
Arlington, WA 98223-8410

Mailing address

16714 Smokey Point Blvd
Arlington, WA 98223-8410
Phone (360) 659-8464

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040309001339 WA Part B Supplier - Clinic/Group Practice 4880582964 Practice locations: Arlington, WA

National Provider Directory

National Provider Directory

Locations

16714 Smokey Point Blvd
Arlington, WA 98223
Phone (360) 650-8464

Practitioners & affiliated clinicians

Practitioners 6

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": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1225219447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16714 SMOKEY POINT BLVD",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982238410",
            "telephone_number": "360-659-8464",
            "fax_number": "360-659-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16714 SMOKEY POINT BLVD",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982238410",
            "telephone_number": "360-659-8464",
            "fax_number": "360-659-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNST CHIROPRACTIC CLINIC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "ERNST",
        "authorized_official_first_name": "LOREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-659-8464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "2486",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 5, 2011; 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.