Organization Active NPI

Skyline Chiropractic

  • Chiropractor
  • Yelm, WA
National Provider Identifier
1235076555
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SKYLINE CHIROPRACTIC
Practice address
1412 Yelm Ave E Ste C101
Yelm, WA 98597-8328
Phone
(850) 420-7643
Fax
(877) 537-1160
NPI assigned
May 4, 2026
Last updated
May 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Authorized official

Name
Dr. Nicholas Manzanares, DCNPI 1780337147
Title
Owner
Phone
(850) 420-7643

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1412 Yelm Ave E Ste C101
Yelm, WA 98597-8328

Mailing address

1412 Yelm Ave E Ste C101
Yelm, WA 98597-8328
Phone (850) 420-7643

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1777852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1235076555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 YELM AVE E STE C101",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985978328",
            "telephone_number": "850-420-7643",
            "fax_number": "877-537-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 YELM AVE E STE C101",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985978328",
            "telephone_number": "850-420-7643",
            "fax_number": "877-537-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLINE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-04",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A",
        "authorized_official_last_name": "MANZANARES",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-420-7643",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yelm, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.