Westside Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH34316 Issued in WA

Legal business name

WESTSIDE CHIROPRACTIC

Practice address

5400 California Ave SW
Suite F
Seattle, WA 98136-1501

Phone

(206) 937-8866

Fax

(206) 937-8869

NPI assigned

Jan 23, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Marilyn Kavanaugh, DC

Title

Owner

Phone

(206) 937-8866

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1264204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264204800000",
    "number": "1619208188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 CALIFORNIA AVE SW",
            "address_2": "SUITE F",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981361501",
            "telephone_number": "206-937-8866",
            "fax_number": "206-937-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 CALIFORNIA AVE SW",
            "address_2": "SUITE F",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981361501",
            "telephone_number": "206-937-8866",
            "fax_number": "206-937-8869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-23",
        "last_updated": "2010-01-23",
        "status": "A",
        "authorized_official_last_name": "KAVANAUGH",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-937-8866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH34316",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA20985",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Westmoor Dental, Inc. (Union Bay Dental Care)
• Kimberly R Westom, SUDP
• Gregory Maxwell Weston, M.D.
• Piper Weston
• Antonio Carlos Anderson Westphalen, M.D.
• Westside Dermatology, PLLC
• Westside Pharmacy
• Westside Smile Dental LLC
• Westwood Village Chiropractic, LLC
• Tamara Lynn Westwood, BS

• Chiropractor in Seattle, WA
• Providers in Seattle, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2010; 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.