Active NPI
PC Chiropractic Inc
- Clinic/Center
- Tukwila, WA
National Provider Identifier
1528115896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- PC CHIROPRACTIC INC
- Doing business as
- Interurban Chiropractic
- Practice address
- 13028 S Interurban Ave
#106
Tukwila, WA 98168-3340 - Phone
- (206) 957-7950
- Fax
- (206) 957-7952
- NPI assigned
- Jan 5, 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. Perry L. Chinn, D.C.
- Title
- President
- Phone
- (206) 957-7950
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
13028 S Interurban Ave
#106
Tukwila, WA 98168-3340
Mailing address
13028 S Interurban Ave
#106
Tukwila, WA 98168-3340
Phone (206) 957-7950
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH4243 | Other | WA | REGENCE BLUE SHIELD |
| 2032399 | Medicaid | WA | |
| 160573 | Other | WA | LABOR AND INDUSTRY |
Other names 1
- Interurban Chiropractic
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196899200000",
"number": "1528115896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13028 S INTERURBAN AVE",
"address_2": "#106",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981683340",
"telephone_number": "206-957-7950",
"fax_number": "206-957-7952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13028 S INTERURBAN AVE",
"address_2": "#106",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981683340",
"telephone_number": "206-957-7950",
"fax_number": "206-957-7952"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PC CHIROPRACTIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-05",
"last_updated": "2007-12-06",
"status": "A",
"authorized_official_last_name": "CHINN",
"authorized_official_first_name": "PERRY",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "206-957-7950",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "CH4243",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2032399",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRY",
"identifier": "160573",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Interurban Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tukwila, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.