NPIMap

Organization Active NPI

Deschutes Chiropractic PLLC

  • Chiropractor
  • Tumwater, WA
National Provider Identifier
1235461559
Registry record updated Feb 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
WA3456 Issued in WA
Legal business name
DESCHUTES CHIROPRACTIC PLLC
Practice address
509 Custer Way SE
Tumwater, WA 98501-3332
Phone
(360) 489-0635
Fax
(360) 489-0917
NPI assigned
Feb 11, 2010
Last updated
Feb 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2010

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

Authorized official

Name
William Harrell, D.C.NPI 1811963010
Title
Owner
Phone
(360) 489-0635

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 MULTIPLE SINGLE SPECIALTY GROUP 111N00000X WA3456 WA Primary

Addresses

Primary practice location

509 Custer Way SE
Tumwater, WA 98501-3332

Mailing address

PO Box 4339
Olympia, WA 98501-0339
Phone (360) 489-0635

National Provider Directory

National Provider Directory

Locations

509 Custer Way SE
Tumwater, WA 98501
Phone (360) 451-1282

Practitioners & affiliated clinicians

Practitioners 2

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": "1265846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265846400000",
    "number": "1235461559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4339",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985010339",
            "telephone_number": "360-489-0635",
            "fax_number": "360-489-0917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 CUSTER WAY SE",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985013332",
            "telephone_number": "360-489-0635",
            "fax_number": "360-489-0917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESCHUTES CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-11",
        "last_updated": "2010-02-11",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-489-0635",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "WA3456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tumwater, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; 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.