NPIMap

Organization Active NPI

Pacific Coast Chiropractic

  • Clinic/Center
  • Mount Vernon, WA
National Provider Identifier
1285828467
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
CH0003044 Issued in WA
Legal business name
PACIFIC COAST CHIROPRACTIC
Practice address
1400 Riverside Dr Ste a
Mount Vernon, WA 98273-5001
Phone
(360) 416-3946
Fax
(360) 416-3209
NPI assigned
Aug 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Authorized official

Name
John G. Holden, D.C.NPI 1477654382
Title
Chiropractor
Phone
(360) 416-3946

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 CH0003044 WA Primary

Addresses

Primary practice location

1400 Riverside Dr Ste a
Mount Vernon, WA 98273-5001

Mailing address

1400 Riverside Dr Ste a
Mount Vernon, WA 98273-5001
Phone (360) 416-3946

National Provider Directory

National Provider Directory

Locations

1400 Riverside Dr
Ste A
Mount Vernon, WA 98273
Phone (360) 416-3946

Practitioners & affiliated clinicians

Practitioners 3

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": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1285828467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 RIVERSIDE DR STE A",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982735001",
            "telephone_number": "360-416-3946",
            "fax_number": "360-416-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 RIVERSIDE DR STE A",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982735001",
            "telephone_number": "360-416-3946",
            "fax_number": "360-416-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC COAST CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "HOLDEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "360-416-3946",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "CH0003044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.