Organization Active NPI

PC Chiropractic Inc

  • Clinic/Center
  • Tukwila, WA
National Provider Identifier
1528115896
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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

Updated by the provider on Dec 6, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
CH4243OtherWAREGENCE BLUE SHIELD
2032399MedicaidWA
160573OtherWALABOR AND INDUSTRY

Other names 1

  • Interurban Chiropractic Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.