NPIMap

Organization Active NPI

Hemphill Chiropractic Clinic, P.S.

  • Clinic/Center
  • Lynnwood, WA
National Provider Identifier
1316137839
Registry record updated Apr 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
CH00034117 Issued in WA
Legal business name
HEMPHILL CHIROPRACTIC CLINIC, P.S.
Practice address
18421 Highway 99
Ste G
Lynnwood, WA 98037-4457
Phone
(425) 214-1900
Fax
(425) 214-1919
NPI assigned
Jul 31, 2007
Last updated
Apr 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2012

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

Authorized official

Name
Dr. Tony Karriem Hemphill, D.C.NPI 1275699506
Title
Owner
Phone
(425) 214-1900

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
Clinic/Center 261Q00000X CH00034117 WA Primary

Addresses

Primary practice location

18421 Highway 99
Ste G
Lynnwood, WA 98037-4457

Mailing address

18421 Highway 99
Ste G
Lynnwood, WA 98037-4457
Phone (425) 214-1900

Other identifiers 3

IdentifierTypeStateIssuer
1275699506OtherWANPI
173024OtherWALABOR & INDUSTRIES
2028470MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040804001139 WA Part B Supplier - Clinic/Group Practice 7719958586 Receives reassigned benefits from 1 practitioner
Practice locations: Seattle, WA

National Provider Directory

National Provider Directory

Locations

18421 Highway 99
Ste G
Lynnwood, WA 98037
Phone (425) 214-1900

367 Rainier Ave S
Ste 54C
Renton, WA 98057
Phone (425) 226-7061

Practitioners & affiliated clinicians

Practitioners 11

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": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334275200000",
    "number": "1316137839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18421 HIGHWAY 99",
            "address_2": "STE G",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980374457",
            "telephone_number": "425-214-1900",
            "fax_number": "425-214-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18421 HIGHWAY 99",
            "address_2": "STE G",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980374457",
            "telephone_number": "425-214-1900",
            "fax_number": "425-214-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEMPHILL CHIROPRACTIC CLINIC, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2012-04-13",
        "status": "A",
        "authorized_official_last_name": "HEMPHILL",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "KARRIEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-214-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "CH00034117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1275699506",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "173024",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2028470",
            "state": "WA"
        }
    ],
    "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 13, 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.