Organization Active NPI

Paquette Chiropractic, PLLC

  • Chiropractor
  • Silverdale, WA
National Provider Identifier
1629518907
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
60608428 Issued in WA
Legal business name
PAQUETTE CHIROPRACTIC, PLLC
Doing business as
West Sound Wellness
Practice address
3100 NW Bucklin Hill Rd
Suite 105
Silverdale, WA 98383-8358
Phone
(360) 830-6596
NPI assigned
Mar 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Authorized official

Name
Dr. Justin Paquette, D.C.NPI 1700241031
Title
Owner/Chiropractor
Phone
(818) 687-0867

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 60608428 WA Primary

Addresses

Primary practice location

3100 NW Bucklin Hill Rd
Suite 105
Silverdale, WA 98383-8358

Mailing address

3100 NW Bucklin Hill Rd
Suite 105
Silverdale, WA 98383-8358
Phone (360) 830-6596

Other names 1

  • West Sound Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170522001530 WA Part B Supplier - Clinic/Group Practice 9335416486 Receives reassigned benefits from 1 practitioner
Practice locations: Silverdale, WA

National Provider Directory

National Provider Directory

Locations

3100 NW Bucklin Hill Rd
#1
Silverdale, WA 98383
Phone (360) 613-0430

Practitioners & affiliated clinicians

Practitioners 1

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": "1488758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1629518907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 NW BUCKLIN HILL RD",
            "address_2": "SUITE 105",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838358",
            "telephone_number": "360-830-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 NW BUCKLIN HILL RD",
            "address_2": "SUITE 105",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838358",
            "telephone_number": "360-830-6596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAQUETTE CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-06",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "PAQUETTE",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "818-687-0867",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "60608428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Sound Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silverdale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.