Organization Active NPI

John V Coffey D C Inc P S

  • Chiropractor
  • Auburn, WA
National Provider Identifier
1497977243
Registry record updated Apr 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0001167 Issued in WA
Legal business name
JOHN V COFFEY D C INC P S
Practice address
4701 Auburn Way N
Auburn, WA 98002-1312
Phone
(253) 850-2225
Fax
(253) 850-5757
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2014

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

Authorized official

Name
Dr. John V Coffey, D.C.
Title
President
Phone
(253) 850-2225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH0001167 WA Primary

Addresses

Primary practice location

4701 Auburn Way N
Auburn, WA 98002-1312

Mailing address

4701 Auburn Way N
Auburn, WA 98002-1312
Phone (253) 850-2225

Other identifiers 3

IdentifierTypeStateIssuer
0129406OtherWADEPT OF L&I
00100976OtherWAMEDICARE
2054005MedicaidWA

Other names 1

  • coffey chiropractic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396828800000",
    "number": "1497977243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 AUBURN WAY N",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980021312",
            "telephone_number": "253-850-2225",
            "fax_number": "253-850-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 AUBURN WAY N",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980021312",
            "telephone_number": "253-850-2225",
            "fax_number": "253-850-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN V COFFEY D C INC P S",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2014-04-07",
        "status": "A",
        "authorized_official_last_name": "COFFEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-850-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH0001167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF L&I",
            "identifier": "0129406",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "00100976",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2054005",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "coffey chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; 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.