Organization Active NPI

Stillwell Family Chiropractic

  • Chiropractor
  • Kent, WA
National Provider Identifier
1497024756
Registry record updated Apr 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2837 Issued in WA
Legal business name
STILLWELL FAMILY CHIROPRACTIC
Practice address
27020 Pacific Hwy S
Ste B
Kent, WA 98032-6951
Phone
(253) 839-2225
Fax
(253) 839-1424
NPI assigned
Dec 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2012

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

Authorized official

Name
Dr. William Jay Stillwell, D.C.
Title
Owner
Phone
(253) 839-2225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2837 WA Primary

Addresses

Primary practice location

27020 Pacific Hwy S
Ste B
Kent, WA 98032-6951

Mailing address

27020 Pacific Hwy S
Ste B
Kent, WA 98032-6951
Phone (253) 839-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120622000175 WA Part B Supplier - Clinic/Group Practice 5597920603 Receives reassigned benefits from 1 practitioner
Practice locations: Kent, WA

National Provider Directory

National Provider Directory

Locations

27020 Pacific Hwy S
Ste B
Kent, WA 98032
Phone (253) 468-7879

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": "1323907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1497024756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27020 PACIFIC HWY S",
            "address_2": "STE B",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980326951",
            "telephone_number": "253-839-2225",
            "fax_number": "253-839-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27020 PACIFIC HWY S",
            "address_2": "STE B",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980326951",
            "telephone_number": "253-839-2225",
            "fax_number": "253-839-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLWELL FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-15",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "STILLWELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-839-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "2837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.