NPIMap

Organization Active NPI

CB Chiropractic PLLC

Doing business as Fife Chiropractic

  • Clinic/Center
  • Fife, WA
National Provider Identifier
1508149097
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CB CHIROPRACTIC PLLC
Doing business as
Fife Chiropractic
Practice address
2026 54TH Ave E
Fife, WA 98424-1904
Phone
(253) 922-0450
Fax
(253) 926-1720
NPI assigned
Sep 21, 2011
Last updated
Jun 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Authorized official

Name
Marice Sacoman
Title
Billing & Credentialing Manager
Phone
(253) 777-3889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X WA Primary

Addresses

Primary practice location

2026 54TH Ave E
Fife, WA 98424-1904

Mailing address

2026 54TH Ave E
Fife, WA 98424-1904
Phone (253) 922-0450

Other names 1

  • Fife Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120124000991 WA Part B Supplier - Clinic/Group Practice 1052588555 Receives reassigned benefits from 7 practitioners
Practice locations: Vashon, WA; Fife, WA

National Provider Directory

National Provider Directory

Locations

2026 54th Ave E
Fife, WA 98424
Phone (253) 777-3889

4505 Pacific Hwy E
Ste B1
Fife, WA 98424
Phone (253) 922-0450

17917 Vashon Hwy SW
Ste 7
Vashon, WA 98070
Phone (253) 922-0450

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": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1508149097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2026 54TH AVE E",
            "city": "FIFE",
            "state": "WA",
            "postal_code": "984241904",
            "telephone_number": "253-922-0450",
            "fax_number": "253-926-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2026 54TH AVE E",
            "city": "FIFE",
            "state": "WA",
            "postal_code": "984241904",
            "telephone_number": "253-922-0450",
            "fax_number": "253-926-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CB CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-21",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "SACOMAN",
        "authorized_official_first_name": "MARICE",
        "authorized_official_title_or_position": "BILLING & CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "253-777-3889"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fife Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fife, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.