NPIMap

Organization Active NPI

Bayshore Chiropractic, PS

  • Chiropractor
  • Oak Harbor, WA
National Provider Identifier
1548433683
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00003601 Issued in WA
Legal business name
BAYSHORE CHIROPRACTIC, PS
Practice address
840 SE Bayshore Dr Ste 101
Oak Harbor, WA 98277-4062
Phone
(360) 675-1066
Fax
(360) 679-2278
NPI assigned
Apr 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

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

Authorized official

Name
Dr. Lillian Dawn Keith-Madeiros, D.C.
Title
President/Owner
Phone
(360) 675-1066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00003601 WA Primary

Addresses

Primary practice location

840 SE Bayshore Dr Ste 101
Oak Harbor, WA 98277-4062

Mailing address

PO Box 1706
Oak Harbor, WA 98277-1706
Phone (360) 675-1066

National Provider Directory

National Provider Directory

Locations

840 SE Bayshore Dr
Ste 101
Oak Harbor, WA 98277
Phone (360) 279-8323

Practitioners & affiliated clinicians

Practitioners 1

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": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312243200000",
    "number": "1548433683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1706",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982771706",
            "telephone_number": "360-675-1066",
            "fax_number": "360-679-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 SE BAYSHORE DR STE 101",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982774062",
            "telephone_number": "360-675-1066",
            "fax_number": "360-679-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSHORE CHIROPRACTIC, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2011-08-02",
        "status": "A",
        "authorized_official_last_name": "KEITH-MADEIROS",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "360-675-1066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; 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.