NPIMap

Organization Active NPI

Lodge Chiropractic

  • Chiropractor
  • Sequim, WA
National Provider Identifier
1407587876
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LODGE CHIROPRACTIC
Practice address
530 W Fir St Ste 1a
Sequim, WA 98382-3284
Phone
(360) 681-2220
Fax
(360) 681-5267
NPI assigned
Jun 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Authorized official

Name
Donna Lodge, DCNPI 1073554192
Title
Chiropractor
Phone
(360) 681-2220

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 1

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

Addresses

Primary practice location

530 W Fir St Ste 1a
Sequim, WA 98382-3284

Mailing address

530 W Fir St Ste 1a
Sequim, WA 98382-3284
Phone (360) 681-2220

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1655424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1407587876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 W FIR ST STE 1A",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823284",
            "telephone_number": "360-681-2220",
            "fax_number": "360-681-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 W FIR ST STE 1A",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823284",
            "telephone_number": "360-681-2220",
            "fax_number": "360-681-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LODGE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-17",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A",
        "authorized_official_last_name": "LODGE",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "360-681-2220",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sequim, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.