NPIMap

Organization Active NPI

James S Park

Doing business as Central Chiropractic Clinic

  • Specialist
  • Shoreline, WA
National Provider Identifier
1386729267
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA00022178 Issued in WA
Legal business name
JAMES S PARK
Doing business as
Central Chiropractic Clinic
Practice address
15027 Aurora Ave N
Shoreline, WA 98133-6134
Phone
(206) 362-3520
Fax
(206) 362-3521
NPI assigned
Oct 26, 2006
Organization subpart
Yes
Parent organization
JAMES S PARK CENTRAL CHIROPRACTIC CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Mr. James S Park, D.C.NPI 1912014366
Title
Owner
Phone
(206) 362-3520

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH00034032 WA
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X MA00020695 WA
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X MA00022178 WA Primary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X MA00023282 WA
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X MA00017069 WA

Addresses

Primary practice location

15027 Aurora Ave N
Shoreline, WA 98133-6134

Mailing address

15027 Aurora Ave N
Shoreline, WA 98133-6134
Phone (206) 362-3520

Other names 1

  • Central Chiropractic Clinic Doing business as

National Provider Directory

National Provider Directory
Part of
James S Park

Locations

15027 Aurora Ave N
Shoreline, WA 98133
Phone (206) 362-3520

Practitioners & affiliated clinicians

Practitioners 11

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": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1386729267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15027 AURORA AVE N",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981336134",
            "telephone_number": "206-362-3520",
            "fax_number": "206-362-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15027 AURORA AVE N",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981336134",
            "telephone_number": "206-362-3520",
            "fax_number": "206-362-3521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES S PARK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JAMES S PARK CENTRAL CHIROPRACTIC CLINIC",
        "enumeration_date": "2006-10-26",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-362-3520",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034032",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00020695",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00022178",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00023282",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00017069",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shoreline, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.