NPIMap

Organization Active NPI

Palmer Chiropractic Inc PS

  • Chiropractor
  • Renton, WA
National Provider Identifier
1487849618
Registry record updated Dec 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00033905 Issued in WA
Legal business name
PALMER CHIROPRACTIC INC PS
Practice address
365 Renton Center Way SW
Suite F
Renton, WA 98057-2324
Phone
(425) 226-7061
NPI assigned
Sep 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2008

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

Authorized official

Name
Derrik WilliamsNPI 1558486001
Title
President
Phone
(206) 218-6955

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00033905 WA Primary

Addresses

Primary practice location

365 Renton Center Way SW
Suite F
Renton, WA 98057-2324

Mailing address

365 Renton Center Way SW
Suite F
Renton, WA 98057-2324
Phone (425) 226-7061

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090403000262 WA Part B Supplier - Clinic/Group Practice 8820981541 Receives reassigned benefits from 1 practitioner
Practice locations: Federal Way, WA; Renton, WA; Seattle, WA

National Provider Directory

National Provider Directory
Tax ID family
Hemphill Chiropractic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

365 Renton Center Way SW
Ste F
Renton, WA 98057
Phone (425) 226-7061

Practitioners & affiliated clinicians

Practitioners 4

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": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229299200000",
    "number": "1487849618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 RENTON CENTER WAY SW",
            "address_2": "SUITE F",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572324",
            "telephone_number": "425-226-7061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 RENTON CENTER WAY SW",
            "address_2": "SUITE F",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572324",
            "telephone_number": "425-226-7061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMER CHIROPRACTIC INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2008-12-15",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DERRIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-218-6955"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00033905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2008; 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.