NPIMap

Organization Active NPI

Planet Chiropractic Inc

Doing business as Yakima Valley Spine

  • Chiropractor
  • Yakima, WA
National Provider Identifier
1235413964
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034501 Issued in WA
Legal business name
PLANET CHIROPRACTIC INC
Doing business as
Yakima Valley Spine
Practice address
205 N 40TH Ave
Yakima, WA 98908-2949
Phone
(509) 966-3031
Fax
(509) 966-1954
NPI assigned
Sep 29, 2011
Last updated
Sep 29, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
PLANET CHIROPRACTIC INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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

Authorized official

Name
Dr. Justin Keith McCormick, DCNPI 1932235561
Title
Owner
Phone
(509) 966-3031

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 CH00034501 WA Primary

Addresses

Primary practice location

205 N 40TH Ave
Yakima, WA 98908-2949

Mailing address

15224 Main St Ste 103
Ste. 103
Mill Creek, WA 98012-7316
Phone (425) 379-9749

Other names 1

  • Yakima Valley Spine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Planet Chiropractic Inc2 organizations share this tax ID, including this one
Part of
Planet Chiropractic Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 5

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": "1317254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317254400000",
    "number": "1235413964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15224 MAIN ST STE 103",
            "address_2": "STE. 103",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980127316",
            "telephone_number": "425-379-9749",
            "fax_number": "425-379-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N 40TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989082949",
            "telephone_number": "509-966-3031",
            "fax_number": "509-966-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANET CHIROPRACTIC INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PLANET CHIROPRACTIC INC",
        "enumeration_date": "2011-09-29",
        "last_updated": "2011-09-29",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-966-3031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yakima Valley Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; 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.