NPIMap

Organization Active NPI

Michael Church

  • Chiropractor
  • Puyallup, WA
National Provider Identifier
1457539892
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH3323 Issued in WA
Legal business name
MICHAEL CHURCH
Practice address
510 E Main Ave Ste a
Puyallup, WA 98372-5612
Phone
(253) 841-4425
Fax
(253) 445-5712
NPI assigned
Feb 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Authorized official

Name
Dr. Michael L Church, DC
Title
Owner
Phone
(253) 841-4425

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X CH3323 WA Primary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X

Addresses

Primary practice location

510 E Main Ave Ste a
Puyallup, WA 98372-5612

Mailing address

510 E Main Ave Ste a
Puyallup, WA 98372-5612
Phone (253) 841-4425

Other identifiers 1

IdentifierTypeStateIssuer
169571OtherWAGROUP WORKERS COMP

Other names 1

  • Church Chiropractic Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

510 E Main
Ste A
Puyallup, WA 98372
Phone (253) 445-0125

Practitioners & affiliated clinicians

Practitioners 5

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": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1457539892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E MAIN AVE STE A",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983725612",
            "telephone_number": "253-841-4425",
            "fax_number": "253-445-5712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E MAIN AVE STE A",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983725612",
            "telephone_number": "253-841-4425",
            "fax_number": "253-445-5712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL CHURCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "CHURCH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-841-4425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH3323",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP WORKERS COMP",
            "identifier": "169571",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Church Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.