Active NPI
Emde Chiropractic PS
- Chiropractor
- Mount Vernon, WA
National Provider Identifier
1619247293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2678
- Legal business name
- EMDE CHIROPRACTIC PS
- Practice address
- 2017 Continental PL
Suite 1
Mount Vernon, WA 98273-5649 - Phone
- (360) 424-3900
- Fax
- (360) 424-3900
- NPI assigned
- Jan 12, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John W Emde, DC
- Title
- President
- Phone
- (360) 424-3900
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2678 | WA | Primary |
Addresses
Primary practice location
2017 Continental PL
Suite 1
Mount Vernon, WA 98273-5649
Mailing address
2017 Continental PL
Suite 1
Mount Vernon, WA 98273-5649
Phone (360) 424-3900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34896 | Other | WA | LABOR & INDUSTRIES |
| EM8970 | Other | WA | BLUE CROSS BLUE SHILD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2017 Continental Pl
Ste 1
Mount Vernon, WA 98273
Phone (360) 424-3900
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Mount Vernon, WA
- NPI 1457427254
-
- Specialist
- Mount Vernon, WA
- NPI 1265760326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326326400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326326400000",
"number": "1619247293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2017 CONTINENTAL PL",
"address_2": "SUITE 1",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982735649",
"telephone_number": "360-424-3900",
"fax_number": "360-424-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2017 CONTINENTAL PL",
"address_2": "SUITE 1",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982735649",
"telephone_number": "360-424-3900",
"fax_number": "360-424-3900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMDE CHIROPRACTIC PS",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-12",
"last_updated": "2012-01-12",
"status": "A",
"authorized_official_last_name": "EMDE",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "360-424-3900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WA",
"license": "2678",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "34896",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHILD",
"identifier": "EM8970",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.