Organization Active NPI

Back to Wellness

  • Chiropractor
  • Lynnwood, WA
National Provider Identifier
1306370408
Registry record updated Apr 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BACK TO WELLNESS
Practice address
4629 168TH St SW Ste B
Lynnwood, WA 98037-8640
Phone
(425) 741-0600
NPI assigned
Apr 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2017

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

Authorized official

Name
Ilin Tsai
Title
Office Manager
Phone
(425) 741-0600

Specialties & licenses 1

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

Addresses

Primary practice location

4629 168TH St SW Ste B
Lynnwood, WA 98037-8640

Mailing address

4629 168TH St SW Ste B
Lynnwood, WA 98037-8640
Phone (425) 741-0600

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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": "1492128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492128000000",
    "number": "1306370408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4629 168TH ST SW STE B",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980378640",
            "telephone_number": "425-741-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4629 168TH ST SW STE B",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980378640",
            "telephone_number": "425-741-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-14",
        "last_updated": "2017-04-14",
        "status": "A",
        "authorized_official_last_name": "TSAI",
        "authorized_official_first_name": "ILIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "425-741-0600"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; 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.