Peninsula Pain Relief Center

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PENINSULA PAIN RELIEF CENTER

Practice address

5050 State Highway 303 NE
Suite A101
Bremerton, WA 98311-3629

Phone

(360) 478-9788

Fax

(360) 405-6255

NPI assigned

Jun 10, 2013

Last updated

Jul 9, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Larry Miggins

Title

President/Owner

Phone

(360) 478-9788

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel A Schneider, D.C.

  • Chiropractor
  • Tacoma, WA
  • NPI 1831339456
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1497193650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 STATE HIGHWAY 303 NE",
            "address_2": "SUITE A101",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983113629",
            "telephone_number": "360-478-9788",
            "fax_number": "360-405-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 STATE HIGHWAY 303 NE",
            "address_2": "SUITE A101",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983113629",
            "telephone_number": "360-478-9788",
            "fax_number": "360-405-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA PAIN RELIEF CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-10",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "MIGGINS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "360-478-9788"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peninsula Community Health Services
• Peninsula Community Health Services
• Peninsula Community Health Servicess
• Peninsula Optical Lab, Inc.
• Peninsula Pain Clinic, PLLC
• Peninsula Spine Institute, PS
• Angela Natalie Perez
• Manya Beth Perkins, LMHCA
• Desiree Pernell
• Graham Pernell

• General Practice Physician in Bremerton, WA
• Providers in Bremerton, WA by specialty
• General Practice Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.