NPIMap

Organization Active NPI

Walsh Chiropractic PLLC

Doing business as Market Place Chiropractic

  • Rehabilitation Chiropractor
  • Lake Stevens, WA
National Provider Identifier
1497479893
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
WALSH CHIROPRACTIC PLLC
Doing business as
Market Place Chiropractic
Practice address
9633 Market PL Unit 103
Lake Stevens, WA 98258-7944
Phone
(425) 335-0300
Fax
(425) 335-0302
NPI assigned
Sep 28, 2022
Last updated
Sep 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Authorized official

Name
Dr. Daniel P Walsh, DCNPI 1700960135
Title
Owner
Phone
(425) 335-0300

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
Rehabilitation Chiropractor 111NR0400X Primary

Addresses

Primary practice location

9633 Market PL Unit 103
Lake Stevens, WA 98258-7944

Mailing address

9633 Market PL Unit 103
Lake Stevens, WA 98258-7944
Phone (425) 335-0300

Other names 1

  • Market Place Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221121003009 WA Part B Supplier - Clinic/Group Practice 9830567932 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Stevens, WA

National Provider Directory

National Provider Directory

Locations

9633 Market Pl
Unit 103
Lake Stevens, WA 98258
Phone (425) 335-0300

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664323200000",
    "number": "1497479893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9633 MARKET PL UNIT 103",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982587944",
            "telephone_number": "425-335-0300",
            "fax_number": "425-335-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9633 MARKET PL UNIT 103",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982587944",
            "telephone_number": "425-335-0300",
            "fax_number": "425-335-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALSH CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-335-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Market Place Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Stevens, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.