NPIMap

Organization Active NPI

Evolution Chiropractic LLC

  • Chiropractor
  • Puyallup, WA
National Provider Identifier
1326367632
Registry record updated May 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60114798 Issued in WA
Legal business name
EVOLUTION CHIROPRACTIC LLC
Practice address
10919 Canyon Rd E
Puyallup, WA 98373-4262
Phone
(360) 481-0373
NPI assigned
May 26, 2010
Last updated
May 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2010

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

Authorized official

Name
Dr. James C. Lahoe, DC
Title
Member
Phone
(360) 481-0373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH60114798 WA Primary

Addresses

Primary practice location

10919 Canyon Rd E
Puyallup, WA 98373-4262

Mailing address

10919 Canyon Rd E
Puyallup, WA 98373-4262
Phone (360) 481-0373

National Provider Directory

National Provider Directory

Locations

9909 224th St E
Graham, WA 98338
Phone (253) 271-0338

10919 Canyon Rd E
Puyallup, WA 98373
Phone (253) 446-7865

Practitioners & affiliated clinicians

Practitioners 7

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": "1274832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274832000000",
    "number": "1326367632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10919 CANYON RD E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983734262",
            "telephone_number": "360-481-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10919 CANYON RD E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983734262",
            "telephone_number": "360-481-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-26",
        "last_updated": "2010-05-26",
        "status": "A",
        "authorized_official_last_name": "LAHOE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "360-481-0373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60114798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; 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.