University Place Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00034392 Issued in WA

Legal business name

UNIVERSITY PLACE CHIROPRACTIC INC

Practice address

2607 Bridgeport Way W
Suite 1D
University Place, WA 98466-4700

Phone

(253) 566-2225

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Mattheu Williams, D.C.NPI 1356567150

Title

Chiropractor

Phone

(253) 566-2225

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• University Place Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mattheu Owen Williams, DC

  • Chiropractor
  • University Place, WA
  • NPI 1356567150
  Medicare reassignment NPD Authorized official
• Michelle Angela Metzger, LMP

  • Specialist
  • University Place, WA
  • NPI 1376618603
  NPD (past)
• Melody E Norwood, LMP

  • Specialist
  • University Place, WA
  • NPI 1003016692
  NPD (past)
• Thomas Michael Williams, DC

  • Chiropractor
  • University Place, WA
  • NPI 1114143922
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435276800000",
    "number": "1609901545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 BRIDGEPORT WAY W",
            "address_2": "SUITE 1D",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664700",
            "telephone_number": "253-566-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 BRIDGEPORT WAY W",
            "address_2": "SUITE 1D",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664700",
            "telephone_number": "253-566-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PLACE CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2015-06-26",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MATTHEU",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "253-566-2225",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003505",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE MATTHEU WILLIAMS",
            "identifier": "WI4950",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I THOMAS WILLIAMS",
            "identifier": "0187492",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THOMAS WILLIAMS DC TAX ID",
            "identifier": "537922990",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I MATTHEU WILLIAMS",
            "identifier": "117001",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Place Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher Thomas Tucker
• Mimi A Tutihasi, MD
• Jessica Tweed, LMHC
• Akari Uchiyama, DPT
• University Place Care Center
• University Place Dental Clinic
• University Place Massage, LLC
• University Place Rehabilitation Center, LLC
• University Place School
• University Place Smiles PLLC

• Chiropractor in University Place, WA
• Providers in University Place, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.