Organization Active NPI

Christopher Wolff Inc PS

  • Chiropractor
  • Kent, WA
National Provider Identifier
1346425535
Registry record updated Mar 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034594 Issued in WA
Legal business name
CHRISTOPHER WOLFF INC PS
Practice address
124 4TH Ave S Ste 110
Kent, WA 98032-5874
Phone
(253) 867-2655
Fax
(253) 867-5229
NPI assigned
Jan 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2009

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

Authorized official

Name
Christopher Wolff, D.C.NPI 1861507519
Title
Owner
Phone
(206) 297-2792

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00034594 WA Primary

Addresses

Primary practice location

124 4TH Ave S Ste 110
Kent, WA 98032-5874

Mailing address

124 4TH Ave S Ste 110
Kent, WA 98032-5874
Phone (253) 867-2655

Other names 1

  • Vitality Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040406000316 WA Part B Supplier - Clinic/Group Practice 9234122292 Receives reassigned benefits from 3 practitioners
2 other NPIs on this enrollment
Practice locations: Seattle, WA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236384000000",
    "number": "1346425535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 4TH AVE S STE 110",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980325874",
            "telephone_number": "253-867-2655",
            "fax_number": "253-867-5229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 4TH AVE S STE 110",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980325874",
            "telephone_number": "253-867-2655",
            "fax_number": "253-867-5229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER WOLFF INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2009-03-07",
        "status": "A",
        "authorized_official_last_name": "WOLFF",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-297-2792",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vitality Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2009; 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.