Active NPI
Norman J Collins, D.C.
- Chiropractor
- Port Orchard, WA
National Provider Identifier
1245375765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00001014
- Practice address
- 2914 Mitchell Rd SE
Port Orchard, WA 98366-4428 - Phone
- (360) 876-6888
- Fax
- (360) 876-1670
- NPI assigned
- Feb 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00001014 | WA | Primary |
Addresses
Primary practice location
2914 Mitchell Rd SE
Port Orchard, WA 98366-4428
Mailing address
1963 Bethel Rd SE
Port Orchard, WA 98366-3108
Phone (360) 876-6888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2211605 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH00001014 | WA | MD | Chiropractor |
| 1014 | WA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570665600000",
"number": "1245375765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1963 BETHEL RD SE",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983663108",
"telephone_number": "360-876-6888",
"fax_number": "360-876-1670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2914 MITCHELL RD SE",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983664428",
"telephone_number": "360-876-6888",
"fax_number": "360-876-1670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "NORMAN",
"middle_name": "J",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2019-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00001014",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2211605",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Orchard, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.