Active NPI
John V Coffey D C Inc P S
- Chiropractor
- Auburn, WA
National Provider Identifier
1497977243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH0001167
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0129406 | Other | WA | DEPT OF L&I |
| 00100976 | Other | WA | MEDICARE |
| 2054005 | Medicaid | WA |
Other names 1
- coffey chiropractic
National Provider Directory
National Provider DirectoryNPI 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.