Pacific Chiropractic Clinic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PACIFIC CHIROPRACTIC CLINIC PLLC

Practice address

7503 196TH St SW
Lynnwood, WA 98036-5079

Phone

(425) 775-8000

Fax

(425) 775-8221

NPI assigned

Feb 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Brian Thomas O'Hea, D.C.

Title

Owner

Phone

(425) 775-8000

Specialties & licenses 2

Addresses

Other identifiers 5

Practitioners 2

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

• Gabrielle Brassfield, LMP

  • Massage Therapist
  • Lynnwood, WA
  • NPI 1508315888
  NPD (past)
• Debra Susan Islas, LMP

  • Massage Therapist
  • Lynnwood, WA
  • NPI 1407180987
  NPD (past)

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1265576573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7503 196TH ST SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365079",
            "telephone_number": "425-775-8000",
            "fax_number": "425-775-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7503 196TH ST SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365079",
            "telephone_number": "425-775-8000",
            "fax_number": "425-775-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC CHIROPRACTIC CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "O'HEA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-775-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "72790",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AWHN",
            "identifier": "12905",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "R21556",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AWHN",
            "identifier": "13665",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "R74350",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiina Oviir, DDS
• Boluwatife Idowu Owodunni
• Bailey E Pace
• David A Pacey, DMD
• Priscilla Ann Pacheco, SLP-CCC
• Pacific Mental Health LLC
• Pacific Physicians Laboratory, Inc.
• Pacifica SL Lynnwood LLC
• Katherine Packard
• Pacmed Clinics

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.