NPIMap

Organization Active NPI

Cascades Chiropractic Center Inc.

  • Chiropractor
  • Dupont, WA
National Provider Identifier
1366637233
Registry record updated Jul 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00033638 Issued in WA
Legal business name
CASCADES CHIROPRACTIC CENTER INC.
Practice address
1570 Wilmington Dr Ste 120
Dupont, WA 98327-8773
Phone
(253) 964-1325
Fax
(253) 964-1329
NPI assigned
Sep 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2011

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

Authorized official

Name
Dr. Steven Joseph Wilson, BS, DCNPI 1174616999
Title
President
Phone
(253) 964-1325

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 CH00033638 WA Primary

Addresses

Primary practice location

1570 Wilmington Dr Ste 120
Dupont, WA 98327-8773

Mailing address

PO Box 450
Dupont, WA 98327-0450
Phone (253) 964-1325

Other identifiers 1

IdentifierTypeStateIssuer
2032696MedicaidWA

Other names 1

  • Dupont Family Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

27111 167th Pl SE
Ste 109
Covington, WA 98042
Phone (253) 639-7639

Practitioners & affiliated clinicians

Practitioners 10

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": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310515200000",
    "number": "1366637233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450",
            "city": "DUPONT",
            "state": "WA",
            "postal_code": "983270450",
            "telephone_number": "253-964-1325",
            "fax_number": "253-964-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 WILMINGTON DR STE 120",
            "city": "DUPONT",
            "state": "WA",
            "postal_code": "983278773",
            "telephone_number": "253-964-1325",
            "fax_number": "253-964-1329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADES CHIROPRACTIC CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2011-07-13",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-964-1325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BS, DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00033638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2032696",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dupont Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dupont, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.