McConnell Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00003035 Issued in WA

Legal business name

MCCONNELL CHIROPRACTIC LLC

Practice address

4324 Martin Way E Ste a
Olympia, WA 98516-5367

Phone

(360) 923-5555

Fax

(360) 413-1584

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Michael McConnell, DCNPI 1366527442

Title

Chiropractor

Phone

(360) 923-5555

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Michael McConnell, DC

  • Chiropractor
  • Olympia, WA
  • NPI 1366527442
  Medicare reassignment Authorized official
• Tamara G Walsh, LMP

  • Specialist
  • Olympia, WA
  • NPI 1518187285
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1497816714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4324 MARTIN WAY E STE A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985165367",
            "telephone_number": "360-923-5555",
            "fax_number": "360-413-1584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4324 MARTIN WAY E STE A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985165367",
            "telephone_number": "360-923-5555",
            "fax_number": "360-413-1584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCONNELL CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "MCCONNELL",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "360-923-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charmaine McCladdie
• Antonio McClinon
• Lori J. McClintock, C.N.M.
• Brandee Lizbeth McClinton, MA
• Teri McClure, LMHCA
• Brittany F McConnell, LISCW
• Jennifer Alice McConnell
• Kristina Nicole McConnell, OT
• Timothy Michael McConnell, DC
• Cecilia McCormick

• Chiropractor in Olympia, WA
• Providers in Olympia, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.