NPIMap

Organization Active NPI

Jay Walker Chiropractic PLLC

  • Chiropractor
  • Centralia, WA
National Provider Identifier
1598001463
Registry record updated Dec 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034582 Issued in WA
Legal business name
JAY WALKER CHIROPRACTIC PLLC
Practice address
1000 Kresky Ave Ste J
Centralia, WA 98531-3794
Phone
(360) 736-1191
Fax
(360) 736-1192
NPI assigned
Dec 21, 2012
Last updated
Dec 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2012

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

Authorized official

Name
Jason A Walker, DCNPI 1831260553
Title
Owner
Phone
(360) 888-8843

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00034582 WA Primary

Addresses

Primary practice location

1000 Kresky Ave Ste J
Centralia, WA 98531-3794

Mailing address

PO Box 14027
Tumwater, WA 98511-4027
Phone (360) 736-1191

National Provider Directory

National Provider Directory

Locations

1000 Kresky Ave
Ste J
Centralia, WA 98531
Phone (360) 736-1191

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": "1356048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356048000000",
    "number": "1598001463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14027",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985114027",
            "telephone_number": "360-736-1191",
            "fax_number": "360-736-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 KRESKY AVE STE J",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985313794",
            "telephone_number": "360-736-1191",
            "fax_number": "360-736-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY WALKER CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-21",
        "last_updated": "2012-12-21",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-888-8843",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centralia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.