NPIMap

Organization Active NPI

Forest Villa Chiropractic Center,Inc P.S.

  • Chiropractor
  • Auburn, WA
National Provider Identifier
1578833372
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00000770 Issued in WA
Legal business name
FOREST VILLA CHIROPRACTIC CENTER,INC P.S.
Practice address
2801 Auburn Way S
Auburn, WA 98092-7961
Phone
(253) 833-3290
NPI assigned
Jan 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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

Authorized official

Name
Betty L Fabianek
Title
Office Manager
Phone
(253) 833-3290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00000770 WA Primary

Addresses

Primary practice location

2801 Auburn Way S
Auburn, WA 98092-7961

Mailing address

2801 Auburn Way S
Auburn, WA 98092-7961
Phone (253) 833-3290

National Provider Directory

National Provider Directory

Locations

2801 Auburn Way S
Auburn, WA 98092
Phone (253) 833-3290

NPI Registry JSON

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1578833372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 AUBURN WAY S",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980927961",
            "telephone_number": "253-833-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 AUBURN WAY S",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980927961",
            "telephone_number": "253-833-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST VILLA CHIROPRACTIC CENTER,INC P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-10",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "FABIANEK",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "253-833-3290"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00000770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.