Active NPI
Evergreen Chiropractic Clinic
- Chiropractor
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00033621
- Legal business name
- EVERGREEN CHIROPRACTIC CLINIC
- Practice address
- 1032 S Jackson St
Suite#200
Seattle, WA 98104-3039 - Phone
- (206) 709-4006
- NPI assigned
- Feb 9, 2007
- Last updated
- Aug 22, 2020
- 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
- Andy Chiem
- Title
- Owner
- Phone
- (206) 709-4006
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00033621 | WA | Primary |
Addresses
Primary practice location
1032 S Jackson St
Suite#200
Seattle, WA 98104-3039
Mailing address
1032 S Jackson St
Suite#200
Seattle, WA 98104-3039
National Provider Directory
National Provider Directory- Tax ID family
- Evergreen Chiropractic Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Chiropractor
- Seattle, WA
- NPI 1174920532
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Chiropractor
- Seattle, WA
- NPI 1407818255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1629119730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1032 S JACKSON ST",
"address_2": "SUITE#200",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981043039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1032 S JACKSON ST",
"address_2": "SUITE#200",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981043039",
"telephone_number": "206-709-4006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVERGREEN CHIROPRACTIC CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CHIEM",
"authorized_official_first_name": "ANDY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "206-709-4006"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00033621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
- Baylee Wendy Everett, PA-C
- Samantha J Everett
- Evergreen at Northpoint LLC
- Evergreen Center for Integrative Medicine PLLC (Bobbi Lutack,ND)
- Evergreen Chiropractic Center
- Evergreen Eye Center, PLLC (Eye Associates Northwest Surgery Center)
- Evergreen Eye Center, PLLC (Eye Associates Northwest, PLLC)
- Evergreen Eye Center, PLLC (Evergreen Eye Center)
- Evergreen Eye Center, PLLC (Eye Associates Northwest Surgery Center)
- Evergreen Eye Center, PLLC (Evergreen Eye Surgery Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.