Organization Active NPI

Allied Chiropractic Pain & Injury Center

  • Chiropractor
  • Bremerton, WA
National Provider Identifier
1629123237
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034243 Issued in WA
Legal business name
ALLIED CHIROPRACTIC PAIN & INJURY CENTER
Practice address
804 Callahan Dr # B
Bremerton, WA 98310-3307
Phone
(360) 373-5400
Fax
(360) 373-5401
NPI assigned
Jan 24, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Terrilynn Nicklin-Griswold
Title
Billing Manager
Phone
(360) 434-3009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00034243 WA Primary

Addresses

Primary practice location

804 Callahan Dr # B
Bremerton, WA 98310-3307

Mailing address

PO Box 11810
Bainbridge Island, WA 98110-5810
Phone (360) 434-3009

Other identifiers 2

IdentifierTypeStateIssuer
3714AFOtherWAREGENCE PIN
0170690OtherWAL&I PIN

National Provider Directory

National Provider Directory

Locations

804 Callahan Dr
#B
Bremerton, WA 98310
Phone (360) 373-5400

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.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629123237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11810",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981105810",
            "telephone_number": "360-434-3009",
            "fax_number": "360-895-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 CALLAHAN DR # B",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103307",
            "telephone_number": "360-373-5400",
            "fax_number": "360-373-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED CHIROPRACTIC PAIN & INJURY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NICKLIN-GRISWOLD",
        "authorized_official_first_name": "TERRILYNN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "360-434-3009"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE PIN",
            "identifier": "3714AF",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I PIN",
            "identifier": "0170690",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

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.

Verify at the official NPI Registry.