Active NPI
Sequim Chiropractic Clinic, PC
- Chiropractor
- Sequim, WA
National Provider Identifier
1467650259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00003465
- Legal business name
- SEQUIM CHIROPRACTIC CLINIC, PC
- Practice address
- 625 N 5TH Ave Ste 1
Sequim, WA 98382-5062 - Phone
- (360) 681-2414
- Fax
- (360) 681-3279
- NPI assigned
- Jul 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert D Bean, DC
- Title
- Owner
- Phone
- (360) 681-2414
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00003465 | WA | Primary |
Addresses
Primary practice location
625 N 5TH Ave Ste 1
Sequim, WA 98382-5062
Mailing address
625 N 5TH Ave Ste 1
Sequim, WA 98382-5062
Phone (360) 681-2414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2026219 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
546 N 5th Ave
Sequim, WA 98382
Phone (360) 681-2414
625 N 5th Ave
Ste 1
Sequim, WA 98382
Phone (206) 451-4213
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Massage Therapist
- Sequim, WA
- NPI 1558691055
-
- Massage Therapist
- Sequim, WA
- NPI 1649431768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1460332800000",
"number": "1467650259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 N 5TH AVE STE 1",
"city": "SEQUIM",
"state": "WA",
"postal_code": "983825062",
"telephone_number": "360-681-2414",
"fax_number": "360-681-3279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 N 5TH AVE STE 1",
"city": "SEQUIM",
"state": "WA",
"postal_code": "983825062",
"telephone_number": "360-681-2414",
"fax_number": "360-681-3279"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEQUIM CHIROPRACTIC CLINIC, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-03",
"last_updated": "2016-04-11",
"status": "A",
"authorized_official_last_name": "BEAN",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "360-681-2414",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00003465",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2026219",
"state": "WA"
}
],
"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 Apr 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.