Carl M Nyren, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2206 Issued in WA

Practice address

10828 Gravelly LK Dr SW
Suite #108
Lakewood, WA 98499-1334

Phone

(253) 588-9731

Fax

(253) 588-9731

NPI assigned

Dec 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nyren Chiropractic Center, LLC

  • Chiropractor
  • Lakewood, WA
  • NPI 1124736913
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245392125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10828 GRAVELLY LK DR SW",
            "address_2": "SUITE #108",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984991334",
            "telephone_number": "253-588-9731",
            "fax_number": "253-588-9731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10828 GRAVELLY LK DR SW",
            "address_2": "SUITE #108",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984991334",
            "telephone_number": "253-588-9731",
            "fax_number": "253-588-9731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYREN",
        "first_name": "CARL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "2206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR INDUSTRIES",
            "identifier": "57407",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Nunes, BA
• Nurani, Mitchell, Kim, PC (BRIGHTNOW DENTAL - Lakewood)
• Venkat Pridhvi Nutalapati, MBBS
• Paul Stanely Nutting
• Nyren Chiropractic Center, LLC
• Derek Anthony Nyren, DC
• Charles William O'Brien, C.R. L.M.P.
• Jessica O'Brien
• Jolene O'Connell, LMP
• Teri O'Neill, LPN

• Chiropractor in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.