Organization Active NPI

Shotwell Chiropractic, PS

  • Chiropractor
  • Arlington, WA
National Provider Identifier
1407034903
Registry record updated Jul 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1854 Issued in WA
Legal business name
SHOTWELL CHIROPRACTIC, PS
Practice address
118 E Haller Ave
Arlington, WA 98223-1027
Phone
(360) 435-2222
NPI assigned
Feb 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2009

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

Authorized official

Name
Dr. Kenneth B Shotwell, D.C.
Title
President
Phone
(360) 435-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1854 WA Primary

Addresses

Primary practice location

118 E Haller Ave
Arlington, WA 98223-1027

Mailing address

PO Box 616
Arlington, WA 98223-0501
Phone (360) 435-6332

National Provider Directory

National Provider Directory

Locations

118 E Haller Ave
Arlington, WA 98223
Phone (360) 435-2222

17317 27th Ave NE
Unit 102
Marysville, WA 98271
Phone (360) 652-5346

17317 27th Ave NE
Ste 10
Marysville, WA 98271
Phone (360) 652-5346

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248652800000",
    "number": "1407034903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 616",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982230501",
            "telephone_number": "360-435-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 E HALLER AVE",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231027",
            "telephone_number": "360-435-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOTWELL CHIROPRACTIC, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2009-07-27",
        "status": "A",
        "authorized_official_last_name": "SHOTWELL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-435-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "1854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; 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.