NPIMap

Organization Active NPI

Sorem Family Chiropractic

  • Chiropractor
  • Lacey, WA
National Provider Identifier
1295907442
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHOO34488 Issued in WA
Legal business name
SOREM FAMILY CHIROPRACTIC
Practice address
4631 Whitman LN SE
Lacey, WA 98513-2201
Phone
(360) 923-1717
Fax
(360) 923-0404
NPI assigned
Mar 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Authorized official

Name
Mr. Monti D Sorem, DCNPI 1417099243
Title
Owner
Phone
(360) 923-1717

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHOO34488 WA Primary

Addresses

Primary practice location

4631 Whitman LN SE
Lacey, WA 98513-2201

Mailing address

4631 Whitman LN SE
Lacey, WA 98513-2201
Phone (360) 923-1717

Other identifiers 1

IdentifierTypeStateIssuer
2031284MedicaidWA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1295907442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4631 WHITMAN LN SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985132201",
            "telephone_number": "360-923-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4631 WHITMAN LN SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985132201",
            "telephone_number": "360-923-1717",
            "fax_number": "360-923-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOREM FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "SOREM",
        "authorized_official_first_name": "MONTI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-923-1717",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CHOO34488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2031284",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.