Individual provider Active NPI

Crystal M Folta, DC

  • Pediatric Chiropractor
  • Poulsbo, WA
National Provider Identifier
1508395302
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric ChiropractorTaxonomy code 111NP0017X
License
CH60773635 Issued in WA
Practice address
20307 Viking Ave NW Ste 102
Poulsbo, WA 98370
Phone
(570) 394-4517
NPI assigned
Jun 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Chiropractor 111NP0017X CH60773635 WA Primary

Addresses

Primary practice location

20307 Viking Ave NW Ste 102
Poulsbo, WA 98370

Mailing address

20307 Viking Ave NW Ste 102
Poulsbo, WA 98370-8321
Phone (570) 394-4517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH60773635WAMDPediatric Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1508395302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20307 VIKING AVE NW STE 102",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983708321",
            "telephone_number": "570-394-4517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20307 VIKING AVE NW STE 102",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "98370",
            "telephone_number": "570-394-4517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLTA",
        "first_name": "CRYSTAL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-06",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "WA",
            "license": "CH60773635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poulsbo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.