NPIMap

Organization Active NPI

Arlington Spine Center, PLLC

  • Chiropractor
  • Arlington, WA
National Provider Identifier
1336357656
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002428 Issued in WA
Legal business name
ARLINGTON SPINE CENTER, PLLC
Practice address
215 E 3Rd St
Arlington, WA 98223-1327
Phone
(360) 474-9900
Fax
(360) 474-8064
NPI assigned
May 18, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Scott Peseau, D.C.NPI 1053464883
Title
Chiropractor
Phone
(360) 474-9900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00002428 WA Primary

Addresses

Primary practice location

215 E 3Rd St
Arlington, WA 98223-1327

Mailing address

215 E 3Rd St
Arlington, WA 98223-1327
Phone (360) 474-9900

National Provider Directory

National Provider Directory

Locations

215 E 3rd St
Arlington, WA 98223
Phone (360) 474-9900

Practitioners & affiliated clinicians

Practitioners 4

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": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336357656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E 3RD ST",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231327",
            "telephone_number": "360-474-9900",
            "fax_number": "360-474-8064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E 3RD ST",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231327",
            "telephone_number": "360-474-9900",
            "fax_number": "360-474-8064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLINGTON SPINE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PESEAU",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "360-474-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.