NPIMap

Organization Active NPI

Canyon Chiropractic

  • Chiropractor
  • Tacoma, WA
National Provider Identifier
1386216745
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CANYON CHIROPRACTIC
Practice address
5216 72ND St E
Tacoma, WA 98443-2722
Phone
(253) 537-8181
Fax
(253) 537-8181
NPI assigned
Jul 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Authorized official

Name
Terry Richardson, DC
Title
Owner/Chiropractor
Phone
(253) 537-8181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

5216 72ND St E
Tacoma, WA 98443-2722

Mailing address

PO Box 146
Puyallup, WA 98371-0015
Phone (253) 537-8181

National Provider Directory

National Provider Directory

Locations

5216 72nd St E
Tacoma, WA 98443
Phone (253) 380-3012

Practitioners & affiliated clinicians

Practitioners 7

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": "1626220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1386216745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 146",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983710015",
            "telephone_number": "253-537-8181",
            "fax_number": "253-537-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5216 72ND ST E",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984432722",
            "telephone_number": "253-537-8181",
            "fax_number": "253-537-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "253-537-8181",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.