Organization Active NPI

Sloan Family Chiropractic, P.S.

  • Chiropractor
  • Olympia, WA
National Provider Identifier
1629137625
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034363 Issued in WA
Legal business name
SLOAN FAMILY CHIROPRACTIC, P.S.
Practice address
1107 W Bay Dr NW Ste 102
Olympia, WA 98502-4668
Phone
(360) 956-3900
Fax
(360) 956-3903
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Authorized official

Name
David Sloan, D.C.NPI 1750440798
Title
Doctor
Phone
(360) 956-3900

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00034363 WA Primary

Addresses

Primary practice location

1107 W Bay Dr NW Ste 102
Olympia, WA 98502-4668

Mailing address

1107 W Bay Dr NW Ste 102
Olympia, WA 98502-4668
Phone (360) 956-3900

Other practice location 1

911 5th Ave SE
Suite 202
Olympia, WA 98501-1534
Phone (360) 956-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080404000236 WA Part B Supplier - Clinic/Group Practice 2466539226 Receives reassigned benefits from 1 practitioner
Practice locations: Olympia, WA

National Provider Directory

National Provider Directory

Locations

911 5th Ave SE
Ste 202
Olympia, WA 98501
Phone (360) 556-7840

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1629137625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 W BAY DR NW STE 102",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985024668",
            "telephone_number": "360-956-3900",
            "fax_number": "360-956-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 W BAY DR NW STE 102",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985024668",
            "telephone_number": "360-956-3900",
            "fax_number": "360-956-3903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "911 5th Ave SE",
            "address_2": "SUITE 202",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985011534",
            "country_code": "US",
            "telephone_number": "360-956-3900",
            "fax_number": "360-956-3903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SLOAN FAMILY CHIROPRACTIC, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "SLOAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "360-956-3900",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.

Verify at the official NPI Registry.