NPIMap

Organization Active NPI

Alderwood Chiropractic PLLC

  • Chiropractor
  • Kirkland, WA
National Provider Identifier
1407086648
Registry record updated Jul 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00033844 Issued in WA
Legal business name
ALDERWOOD CHIROPRACTIC PLLC
Practice address
30 Lake Shore PLZ
Suite B
Kirkland, WA 98033-6175
Phone
(425) 822-4325
NPI assigned
Jul 22, 2009
Last updated
Jul 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2009

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

Authorized official

Name
Dr. Mark Niblett, D.C.NPI 1861677890
Title
Member
Phone
(425) 750-2245

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00033844 WA Primary

Addresses

Primary practice location

30 Lake Shore PLZ
Suite B
Kirkland, WA 98033-6175

Mailing address

PO Box 558
Kirkland, WA 98083-0558
Phone (425) 822-4325

National Provider Directory

National Provider Directory

Locations

30 Lakeshore Plz
Ste B
Kirkland, WA 98033
Phone (206) 816-0313

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248220800000",
    "number": "1407086648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 558",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980830558",
            "telephone_number": "425-822-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 LAKE SHORE PLZ",
            "address_2": "SUITE B",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980336175",
            "telephone_number": "425-822-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALDERWOOD CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-22",
        "last_updated": "2009-07-22",
        "status": "A",
        "authorized_official_last_name": "NIBLETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "425-750-2245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00033844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.