Organization Active NPI

Johanna M Hoeller DC PS

  • Chiropractor
  • Seattle, WA
National Provider Identifier
1295955326
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002024 Issued in WA
Legal business name
JOHANNA M HOELLER DC PS
Practice address
4345 Roosevelt Way NE
Seattle, WA 98105
Phone
(206) 547-6370
Fax
(206) 675-0890
NPI assigned
Apr 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Authorized official

Name
Dr. Johanna M Hoeller, DC
Title
Owner Chiropractor
Phone
(206) 547-6370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00002024 WA Primary

Addresses

Primary practice location

4345 Roosevelt Way NE
Seattle, WA 98105

Mailing address

4345 Roosevelt Way NE
Seattle, WA 98105
Phone (206) 547-6370

Other names 1

  • Precision Spinal Care Former legal business name

National Provider Directory

National Provider Directory

Locations

4345 Roosevelt Way NE
Seattle, WA 98105
Phone (206) 547-6370

Practitioners & affiliated clinicians

Practitioners 2

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": "1177891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1295955326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4345 ROOSEVELT WAY NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98105",
            "telephone_number": "206-547-6370",
            "fax_number": "206-675-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4345 ROOSEVELT WAY NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98105",
            "telephone_number": "206-547-6370",
            "fax_number": "206-675-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHANNA M HOELLER DC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-30",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "HOELLER",
        "authorized_official_first_name": "JOHANNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER CHIROPRACTOR",
        "authorized_official_telephone_number": "206-547-6370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Spinal Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; 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.