NPIMap

Organization Active NPI

Mountain View Chirorpactic PLLC

Doing business as Mountain View Chiropractic and Wellness Center

  • Chiropractor
  • Bonney Lake, WA
National Provider Identifier
1245436476
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
602561952 Issued in WA
Legal business name
MOUNTAIN VIEW CHIRORPACTIC PLLC
Doing business as
Mountain View Chiropractic and Wellness Center
Practice address
9812 205TH Ave E Ste C
Bonney Lake, WA 98391-8275
Phone
(253) 863-6378
Fax
(253) 863-6429
NPI assigned
Jun 25, 2007
Last updated
Jun 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Authorized official

Name
Dr. John Huynh, D.C.NPI 1588637151
Title
Chiropractor
Phone
(253) 863-6378

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X
Chiropractor 111N00000X 602561952 WA Primary

Addresses

Primary practice location

9812 205TH Ave E Ste C
Bonney Lake, WA 98391-8275

Mailing address

9812 205TH Ave E Ste C
Bonney Lake, WA 98391-8275
Phone (253) 863-6378

Other names 1

  • Mountain View Chiropractic and Wellness Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060220000097 WA Part B Supplier - Clinic/Group Practice 9537174123 Receives reassigned benefits from 6 practitioners
Practice locations: Bonney Lake, WA

National Provider Directory

National Provider Directory

Locations

19102 State Route 410 E
Ste A
Bonney Lake, WA 98391
Phone (253) 651-9399

9812 205th Ave E
Ste C
Bonney Lake, WA 98391
Phone (253) 863-6378

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1245436476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9812 205TH AVE E STE C",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983918275",
            "telephone_number": "253-863-6378",
            "fax_number": "253-863-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9812 205TH AVE E STE C",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983918275",
            "telephone_number": "253-863-6378",
            "fax_number": "253-863-6429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW CHIRORPACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "HUYNH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "253-863-6378",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "602561952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain View Chiropractic and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mountain View Chiropractic and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bonney Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.