Organization Active NPI

Owens Chiropractic P.S.

  • Chiropractor
  • Federal Way, WA
National Provider Identifier
1457733693
Registry record updated Feb 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034757 Issued in WA
Legal business name
OWENS CHIROPRACTIC P.S.
Practice address
32123 1St Ave S Ste A3
Federal Way, WA 98003-5720
Phone
(253) 831-4637
Fax
(253) 235-5361
NPI assigned
Jun 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2025

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

Authorized official

Name
Hannah Goodfellow
Title
Manager
Phone
(253) 831-4637

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00034757 WA Primary

Addresses

Primary practice location

32123 1St Ave S Ste A3
Federal Way, WA 98003-5720

Mailing address

32123 1St Ave S Ste A3
Federal Way, WA 98003-5720
Phone (253) 831-4637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151204001114 WA Part B Supplier - Clinic/Group Practice 0840590360 Receives reassigned benefits from 1 practitioner
Practice locations: Federal Way, WA

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": "1435104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740182400000",
    "number": "1457733693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32123 1ST AVE S STE A3",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035720",
            "telephone_number": "253-831-4637",
            "fax_number": "253-235-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32123 1ST AVE S STE A3",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035720",
            "telephone_number": "253-831-4637",
            "fax_number": "253-235-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWENS CHIROPRACTIC P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-24",
        "last_updated": "2025-02-22",
        "certification_date": "2025-02-22",
        "status": "A",
        "authorized_official_last_name": "GOODFELLOW",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "253-831-4637"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2025; 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.