Active NPI
Allied Chiropractic Pain & Injury Center
- Chiropractor
- Bremerton, WA
National Provider Identifier
1629123237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00034243
- 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, 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
- Terrilynn Nicklin-Griswold
- Title
- Billing Manager
- Phone
- (360) 434-3009
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3714AF | Other | WA | REGENCE PIN |
| 0170690 | Other | WA | L&I PIN |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Bremerton, WA
- NPI 1699820282
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.