NPIMap

Organization Active NPI

Kent Tacoma Chiropractic

  • Chiropractor
  • Kent, WA
National Provider Identifier
1265890941
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002970 Issued in WA
Legal business name
KENT TACOMA CHIROPRACTIC
Practice address
24612 104TH Ave SE
Kent, WA 98030-4965
Phone
(253) 520-2529
Fax
(253) 852-4453
NPI assigned
Feb 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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

Authorized official

Name
Nadim Halabi, DC
Title
Owner
Phone
(253) 520-2529

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH00002970 WA Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MA60534560 WA

Addresses

Primary practice location

24612 104TH Ave SE
Kent, WA 98030-4965

Mailing address

PO Box 5669
Kent, WA 98064-5669
Phone (253) 520-2529

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1454976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454976000000",
    "number": "1265890941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5669",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980645669",
            "telephone_number": "253-520-2529",
            "fax_number": "253-852-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24612 104TH AVE SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980304965",
            "telephone_number": "253-520-2529",
            "fax_number": "253-852-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT TACOMA CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-09",
        "status": "A",
        "authorized_official_last_name": "HALABI",
        "authorized_official_first_name": "NADIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-520-2529",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002970",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60534560",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; 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.