NPIMap

Organization Active NPI

Haley Chiropractic P.S.

  • Chiropractor
  • Tacoma, WA
National Provider Identifier
1316128382
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
601759963 Issued in WA
Legal business name
HALEY CHIROPRACTIC P.S.
Practice address
1919 N Pearl St
Suite #a-4
Tacoma, WA 98406-2461
Phone
(253) 761-0930
Fax
(253) 761-8746
NPI assigned
Nov 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

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

Authorized official

Name
Dr. Mark A Haley, D.C.NPI 1952366783
Title
Owner
Phone
(253) 761-0930

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 MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 601759963 WA Primary

Addresses

Primary practice location

1919 N Pearl St
Suite #a-4
Tacoma, WA 98406-2461

Mailing address

1919 N Pearl St
Suite #a-4
Tacoma, WA 98406-2461
Phone (253) 761-0930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040416000895 WA Part B Supplier - Clinic/Group Practice 0143215475 Receives reassigned benefits from 3 practitioners
Practice locations: Tacoma, WA

National Provider Directory

National Provider Directory

Locations

1919 N Pearl St
Ste A4
Tacoma, WA 98406
Phone (253) 761-0930

Interoperability endpoints

  • Direct secure messaging: mah007@hcc0028.direct.chirotouch.md

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1316128382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 N PEARL ST",
            "address_2": "SUITE #A-4",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062461",
            "telephone_number": "253-761-0930",
            "fax_number": "253-761-8746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 N PEARL ST",
            "address_2": "SUITE #A-4",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062461",
            "telephone_number": "253-761-0930",
            "fax_number": "253-761-8746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALEY CHIROPRACTIC P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "HALEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-761-0930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "601759963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; 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.