Organization Active NPI

Pac Highway Chiropractic

Doing business as Pacific Highway Chiropractic

  • Chiropractor
  • Tukwila, WA
National Provider Identifier
1285398529
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PAC HIGHWAY CHIROPRACTIC
Doing business as
Pacific Highway Chiropractic
Practice address
13030 Military Rd S Ste 106
Tukwila, WA 98168-3079
Phone
(206) 923-7600
Fax
(206) 923-7601
NPI assigned
Oct 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Authorized official

Name
Toni Brender
Title
Manager
Phone
(206) 923-7600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

13030 Military Rd S Ste 106
Tukwila, WA 98168-3079

Mailing address

13030 Military Rd S Ste 106
Tukwila, WA 98168-3079
Phone (206) 923-7600

Other names 1

  • PACIFIC HIGHWAY CHIROPRACTIC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1285398529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13030 MILITARY RD S STE 106",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981683079",
            "telephone_number": "206-923-7600",
            "fax_number": "206-923-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13030 MILITARY RD S STE 106",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981683079",
            "telephone_number": "206-923-7600",
            "fax_number": "206-923-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAC HIGHWAY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "BRENDER",
        "authorized_official_first_name": "TONI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "206-923-7600"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PACIFIC HIGHWAY CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PACIFIC HIGHWAY CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tukwila, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.