NPIMap

Organization Active NPI

Kenneth W Trapp DC Inc

  • Chiropractor
  • Lacey, WA
National Provider Identifier
1508980293
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002178 Issued in WA
Legal business name
KENNETH W TRAPP DC INC
Practice address
5600 Pacific Ave SE
Lacey, WA 98503-1258
Phone
(360) 493-2000
Fax
(360) 493-2437
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Authorized official

Name
Kenneth Wayne Trapp, DCNPI 1528024296
Title
Owner
Phone
(360) 493-2000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH00002178 WA Primary

Addresses

Primary practice location

5600 Pacific Ave SE
Lacey, WA 98503-1258

Mailing address

5600 Pacific Avenue SE
Lacey, WA 98503-1258
Phone (360) 493-2000

Other names 1

  • Chiropractic Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070711000755 WA Part B Supplier - Clinic/Group Practice 6901906585 Receives reassigned benefits from 3 practitioners
Practice locations: Lacey, WA

National Provider Directory

National Provider Directory

Locations

5600 Pacific Ave SE
Lacey, WA 98503
Phone (360) 493-2000

Practitioners & affiliated clinicians

Practitioners 12

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

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1508980293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 PACIFIC AVENUE SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031258",
            "telephone_number": "360-493-2000",
            "fax_number": "360-493-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 PACIFIC AVE SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031258",
            "telephone_number": "360-493-2000",
            "fax_number": "360-493-2437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH W TRAPP DC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "TRAPP",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-493-2000",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.