Ballard Central Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00034175 Issued in WA

Legal business name

BALLARD CENTRAL CHIROPRACTIC INC

Practice address

5409 17TH Ave NW
Seattle, WA 98107-3818

Phone

(206) 784-3895

Fax

(206) 784-7471

NPI assigned

Jul 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Brodie I Klenk, DCNPI 1932242823

Title

President

Phone

(206) 784-3895

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 5

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

• Brodie I Klenk, D.C.

  • Chiropractor
  • Seattle, WA
  • NPI 1932242823
  Medicare reassignment NPD Authorized official
• Monica L Bradley, L.M.P.

  • Massage Therapist
  • Seattle, WA
  • NPI 1396876074
  NPD (past)
• Caroline Paige Kaplan, PT

  • Physical Therapist
  • Seattle, WA
  • NPI 1366487324
  NPD (past)
• Linda Shawn McGill, LMP

  • Massage Therapist
  • Seattle, WA
  • NPI 1184068504
  NPD (past)
• Cameron Gordon Hampton Smith, M.D.

  • Internal Medicine Physician
  • Burien, WA
  • NPI 1144275272
  NPD (past)

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1295935252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5409 17TH AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073818",
            "telephone_number": "206-784-3895",
            "fax_number": "206-784-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5409 17TH AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073818",
            "telephone_number": "206-784-3895",
            "fax_number": "206-784-7471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALLARD CENTRAL CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "KLENK",
        "authorized_official_first_name": "BRODIE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-784-3895",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Beth Ball, LMFT
• Jane Carol Ballantyne, MD
• Kelly Renee Ballantyne, CCC-SLP
• Ballard Acupuncture Center LLC
• Ballard Avenue Psychiatry PLLC
• Ballard Central Massage Clinic LLC
• Ballard Chiropractic Clinic, PS
• Ballard Emergency Physicians, P.S.
• Ballard Eye Clinic PLLC
• Ballard Health Center

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.