NPIMap

Organization Active NPI

Kent Chiropractic

  • Chiropractor
  • Kent, WA
National Provider Identifier
1568037364
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
KENT CHIROPRACTIC
Practice address
24612 104TH Ave SE
Kent, WA 98030-4965
Phone
(253) 520-2529
Fax
(253) 852-4453
NPI assigned
May 24, 2021
Last updated
May 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Authorized official

Name
Nadim Halabi, DCNPI 1487864609
Title
Owner
Phone
(253) 520-2529

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X Primary
Radiology ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NR0200X
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X

Addresses

Primary practice location

24612 104TH Ave SE
Kent, WA 98030-4965

Mailing address

PO Box 5669
Kent, WA 98064-5669
Phone (253) 520-2529

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1621814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1568037364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5669",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980645669",
            "telephone_number": "253-520-2529",
            "fax_number": "253-852-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24612 104TH AVE SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980304965",
            "telephone_number": "253-520-2529",
            "fax_number": "253-852-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "HALABI",
        "authorized_official_first_name": "NADIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-520-2529",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111NR0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.