NPIMap

Organization Active NPI

Wallingford Family Chiropractic PLLC

  • Chiropractor
  • Seattle, WA
National Provider Identifier
1558645440
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034398 Issued in WA
Legal business name
WALLINGFORD FAMILY CHIROPRACTIC PLLC
Practice address
4507 Sunnyside Ave N
Suite C
Seattle, WA 98103-6954
Phone
(206) 419-2588
NPI assigned
Oct 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Authorized official

Name
Dr. Michael J Caravalho, D.C.NPI 1982771929
Title
Member/Owner
Phone
(206) 419-2588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00034398 WA Primary

Addresses

Primary practice location

4507 Sunnyside Ave N
Suite C
Seattle, WA 98103-6954

Mailing address

4507 Sunnyside Ave N
Suite C
Seattle, WA 98103-6954
Phone (206) 419-2588

National Provider Directory

National Provider Directory

Locations

4507 Sunnyside Ave N
Ste C
Seattle, WA 98103
Phone (206) 419-2588

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1558645440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4507 SUNNYSIDE AVE N",
            "address_2": "SUITE C",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036954",
            "telephone_number": "206-419-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4507 SUNNYSIDE AVE N",
            "address_2": "SUITE C",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036954",
            "telephone_number": "206-419-2588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLINGFORD FAMILY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-11",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "CARAVALHO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "206-419-2588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

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