NPIMap

Organization Active NPI

Haslam Chiropractic PLLC

  • Clinic/Center
  • Chewelah, WA
National Provider Identifier
1376900712
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
CH-60404828 Issued in WA
Legal business name
HASLAM CHIROPRACTIC PLLC
Practice address
301 E Clay Ave
Suite 219
Chewelah, WA 99109-8936
Phone
(509) 935-6822
Fax
(509) 935-4885
NPI assigned
Jan 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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

Authorized official

Name
Dr. Bradley Haslam, D.C.NPI 1861827503
Title
Owner
Phone
(509) 935-6822

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
Clinic/Center 261Q00000X CH-60404828 WA Primary

Addresses

Primary practice location

301 E Clay Ave
Suite 219
Chewelah, WA 99109-8936

Mailing address

PO Box 1133
Chewelah, WA 99109-1133
Phone (509) 935-6822

Other names 1

  • Chewelah Family Chiropractic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Chewelah Family Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

301 E Clay Ave
Ste 219
Chewelah, WA 99109
Phone (509) 935-6822

Practitioners & affiliated clinicians

Practitioners 2

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": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1376900712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1133",
            "city": "CHEWELAH",
            "state": "WA",
            "postal_code": "991091133",
            "telephone_number": "509-935-6822",
            "fax_number": "509-935-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E CLAY AVE",
            "address_2": "SUITE 219",
            "city": "CHEWELAH",
            "state": "WA",
            "postal_code": "991098936",
            "telephone_number": "509-935-6822",
            "fax_number": "509-935-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HASLAM CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "HASLAM",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-935-6822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "CH-60404828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chewelah Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chewelah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; 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.