NPIMap

Organization Active NPI

Eastside Chiropractic PC

  • Chiropractor
  • Bothell, WA
National Provider Identifier
1326323155
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2632 Issued in WA
Legal business name
EASTSIDE CHIROPRACTIC PC
Practice address
11801 NE 160TH St
Suite D
Bothell, WA 98011-4106
Phone
(425) 488-3477
Fax
(425) 481-8031
NPI assigned
Oct 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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

Authorized official

Name
Dr. Darrell Schreyer, DC
Title
President
Phone
(425) 488-3477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2632 WA Primary

Addresses

Primary practice location

11801 NE 160TH St
Suite D
Bothell, WA 98011-4106

Mailing address

11801 NE 160TH St
Suite D
Bothell, WA 98011-4106
Phone (425) 488-3477

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318377600000",
    "number": "1326323155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11801 NE 160TH ST",
            "address_2": "SUITE D",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980114106",
            "telephone_number": "425-488-3477",
            "fax_number": "425-481-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11801 NE 160TH ST",
            "address_2": "SUITE D",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980114106",
            "telephone_number": "425-488-3477",
            "fax_number": "425-481-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-12",
        "last_updated": "2011-10-12",
        "status": "A",
        "authorized_official_last_name": "SCHREYER",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-488-3477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "2632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; 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.