NPIMap

Organization Active NPI

Center Street Chiropractic, P.S.

  • Chiropractor
  • Tacoma, WA
National Provider Identifier
1245446152
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CENTER STREET CHIROPRACTIC, P.S.
Practice address
4803 Center St
Tacoma, WA 98409-2319
Phone
(253) 460-2818
Fax
(253) 460-7233
NPI assigned
May 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mark Woodham, DC
Title
Owner President
Phone
(253) 460-2818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X WA Primary

Addresses

Primary practice location

4803 Center St
Tacoma, WA 98409-2319

Mailing address

4803 Center St
Tacoma, WA 98409-2319
Phone (253) 460-2818

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245446152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4803 CENTER ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984092319",
            "telephone_number": "253-460-2818",
            "fax_number": "253-460-7233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4803 CENTER ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984092319",
            "telephone_number": "253-460-2818",
            "fax_number": "253-460-7233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER STREET CHIROPRACTIC, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOODHAM",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "253-460-2818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.