Organization Active NPI

Sherwood Family Chiropractic, P.S.

  • Clinic/Center
  • Renton, WA
National Provider Identifier
1255534939
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
2364 Issued in WA
Legal business name
SHERWOOD FAMILY CHIROPRACTIC, P.S.
Practice address
16810 108TH Ave SE
Renton, WA 98055-5413
Phone
(425) 227-0111
NPI assigned
Jun 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Authorized official

Name
Dr. Kurt Sherwood, DCNPI 1831244599
Title
President
Phone
(425) 227-0111

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
Clinic/Center 261Q00000X 2364 WA Primary

Addresses

Primary practice location

16810 108TH Ave SE
Renton, WA 98055-5413

Mailing address

16810 108TH Ave SE
Renton, WA 98055-5413
Phone (425) 227-0111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081020000589 WA Part B Supplier - Clinic/Group Practice 6901964907 Receives reassigned benefits from 2 practitioners
Practice locations: Renton, WA

National Provider Directory

National Provider Directory

Locations

16810 108th Ave SE
Renton, WA 98055
Phone (425) 227-0111

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1255534939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16810 108TH AVE SE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555413",
            "telephone_number": "425-227-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16810 108TH AVE SE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555413",
            "telephone_number": "425-227-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERWOOD FAMILY CHIROPRACTIC, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "SHERWOOD",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-227-0111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "2364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.