Phillip M. Padelford, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00001161 Issued in WA

Practice address

609 39TH Ave SW
Puyallup, WA 98373-5917

Phone

(253) 848-6626

Fax

(253) 848-6937

NPI assigned

Nov 10, 2006

Last updated

Jun 18, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Phillip M Padelford Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lifestyle Chiropractic PLLC

  dba South Hill Chiropractic

  • Chiropractor
  • Puyallup, WA
  • NPI 1619747300
  NPD

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403049600000",
    "number": "1457422727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73575",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983730575",
            "telephone_number": "253-848-6626",
            "fax_number": "253-848-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 39TH AVE SW",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983735917",
            "telephone_number": "253-848-6626",
            "fax_number": "253-848-6937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADELFORD",
        "first_name": "PHILLIP",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2014-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHILLIP",
            "last_name": "PADELFORD",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; 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.