Chiropractic Care Center, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00001603 Issued in WA

Legal business name

CHIROPRACTIC CARE CENTER, INC.

Practice address

17401 135TH Ave NE., Suite 4
Woodinville, WA 98072

Phone

(425) 483-2320

NPI assigned

Mar 27, 2012

Last updated

Mar 27, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Janice D Green

Title

Owner

Phone

(425) 483-2320

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Allen Gordon Green, DC

  • Chiropractor
  • Woodinville, WA
  • NPI 1669415956
  Medicare reassignment NPD
• Kimberly Renee Formo, D.C.

  • Chiropractor
  • Woodinville, WA
  • NPI 1336330877
  NPD (past)
• Lise Mary Peterson, LMP

  • Specialist
  • Woodinville, WA
  • NPI 1073644969
  NPD (past)
• Robin Marie Western, LMP

  • Specialist
  • Woodinville, WA
  • NPI 1780863548
  NPD (past)

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1386910123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17401 135TH AVE N.E. SUITE 4",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980726825",
            "telephone_number": "425-483-2320",
            "fax_number": "425-424-3256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17401 135TH AVE NE., SUITE 4",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "98072",
            "telephone_number": "425-483-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-483-2320",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ho Yee Cheung
• Kelianne Chhim, ARNP, FNP-BC
• Angela Chianglin, DDS
• Children' S Country Home
• Children' S Country Home
• Taryn Christine Chlebowski, M.D.
• Linda Cho, PHARM.D.
• Sunghee Briana Choi, DDS
• Emily Chow
• Shannon Marie Christen, AUD

• Chiropractor in Woodinville, WA
• Providers in Woodinville, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.