Zillah Chiropractic Center Inc PS

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00034056 Issued in WA

Legal business name

ZILLAH CHIROPRACTIC CENTER INC PS

Practice address

513 1St Ave
Zillah, WA 98953

Phone

(509) 829-6101

Fax

(509) 829-6101

NPI assigned

Aug 6, 2007

Last updated

Oct 14, 2010By 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

Dr. Scott James Carmack, DCNPI 1972597391

Title

Chiropractor Owner

Phone

(509) 829-6101

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 2

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.

• Scott James Carmack, D.C.

  • Chiropractor
  • Zillah, WA
  • NPI 1972597391
  Medicare reassignment NPD Authorized official
• Molly J Fisher, D.C.

  • Chiropractor
  • Bedford, PA
  • NPI 1952367823
  NPD (past)

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1417148388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1841",
            "city": "ZILLAH",
            "state": "WA",
            "postal_code": "989531841",
            "telephone_number": "509-829-6101",
            "fax_number": "509-829-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 1ST AVE",
            "city": "ZILLAH",
            "state": "WA",
            "postal_code": "98953",
            "telephone_number": "509-829-6101",
            "fax_number": "509-829-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZILLAH CHIROPRACTIC CENTER INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "CARMACK",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CHIROPRACTOR OWNER",
        "authorized_official_telephone_number": "509-829-6101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2026052",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "U87239",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIUAL",
            "identifier": "AB29040",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "AB29039",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leanea Margaret Villafan
• Raul Juan Villarruel, LMP
• Vintage Valley Pharmacy LLC (Doctor's Pharmacy)
• Michael Patrick Woods, O. D.
• Phylicia Danielle Yorgure, M.D.
• Zillah Drug Store Inc (Zillah Drug Store)
• Zillah School District
• Zillah Vision PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.