NPIMap

Organization Active NPI

Straight Chiropractic Incorporated

  • Chiropractor
  • North Bend, WA
National Provider Identifier
1336270586
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
STRAIGHT CHIROPRACTIC INCORPORATED
Practice address
318 E Park St
North Bend, WA 98045-8200
Phone
(425) 888-4170
Fax
(425) 888-6431
NPI assigned
Mar 8, 2007
Last updated
Apr 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Authorized official

Name
Dr. Scott Massengill, D.C.NPI 1174654313
Title
Vice President
Phone
(425) 888-4170

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
Chiropractor 111N00000X WA Primary

Addresses

Primary practice location

318 E Park St
North Bend, WA 98045-8200

Mailing address

PO Box 1056
North Bend, WA 98045-1056
Phone (425) 888-4170

Other names 1

  • Sno-Valley Family Chiropractic Center Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040602000412 WA Part B Supplier - Clinic/Group Practice 8921080276 Receives reassigned benefits from 2 practitioners
Practice locations: North Bend, WA

National Provider Directory

National Provider Directory

Locations

1750 112th Ave NE
Ste D154
Bellevue, WA 98004
Phone (425) 455-5390

Practitioners & affiliated clinicians

Practitioners 5

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": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1336270586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1056",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980451056",
            "telephone_number": "425-888-4170",
            "fax_number": "425-888-6431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 E PARK ST",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980458200",
            "telephone_number": "425-888-4170",
            "fax_number": "425-888-6431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRAIGHT CHIROPRACTIC INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "MASSENGILL",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "425-888-4170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sno-Valley Family Chiropractic Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in North Bend, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.