NPIMap

Organization Active NPI

Riverside Chiropractic Centre PLLC

  • Chiropractor
  • Sumner, WA
National Provider Identifier
1295980639
Registry record updated Nov 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002090 Issued in WA
Legal business name
RIVERSIDE CHIROPRACTIC CENTRE PLLC
Practice address
603 Hunt Ave
Suite a
Sumner, WA 98390-1117
Phone
(253) 863-0855
Fax
(253) 826-0511
NPI assigned
Nov 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2008

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

Authorized official

Name
Dr. Kerry Alan Bateman, D.C.
Title
Owner
Phone
(253) 863-0855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00002090 WA Primary

Addresses

Primary practice location

603 Hunt Ave
Suite a
Sumner, WA 98390-1117

Mailing address

603 Hunt Ave
Suite a
Sumner, WA 98390-1117
Phone (253) 863-0855

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1227657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227657600000",
    "number": "1295980639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 HUNT AVE",
            "address_2": "SUITE A",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983901117",
            "telephone_number": "253-863-0855",
            "fax_number": "253-826-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 HUNT AVE",
            "address_2": "SUITE A",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983901117",
            "telephone_number": "253-863-0855",
            "fax_number": "253-826-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE CHIROPRACTIC CENTRE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-26",
        "last_updated": "2008-11-26",
        "status": "A",
        "authorized_official_last_name": "BATEMAN",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-863-0855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumner, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.