Individual provider Active NPI

Timothy J Igielski, D.C.

  • Chiropractor
  • Federal Way, WA
National Provider Identifier
1598808081
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0002156 Issued in WA
Practice address
2214 S 308TH St
Federal Way, WA 98003-4823
Phone
(253) 335-9983
Fax
(253) 529-1214
NPI assigned
Feb 14, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0002156 WA Primary

Addresses

Primary practice location

2214 S 308TH St
Federal Way, WA 98003-4823

Mailing address

2214 S 308TH St
Federal Way, WA 98003-4823
Phone (253) 335-9983

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH0002156WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Chiropractic #7, PLLC Chiropractor Past Accepting new patients
Premier Chiropractic Chiropractor PastSince Feb 9, 2005 Accepting new patients
South Tacoma Chiropractic and Rehabilitation, PLLC Chiropractor PastSince Feb 1, 2000 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598808081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 S 308TH ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980034823",
            "telephone_number": "253-335-9983",
            "fax_number": "253-529-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 S 308TH ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980034823",
            "telephone_number": "253-335-9983",
            "fax_number": "253-529-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGIELSKI",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH0002156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.