Clover Creek Chiropractic Inc PC

Primary specialty

Occupational Health ChiropractorTaxonomy code 111NX0100X

Legal business name

CLOVER CREEK CHIROPRACTIC INC PC

Practice address

6141 93Rd St SW
Lakewood, WA 98499-2401

Phone

(253) 584-3838

Fax

(253) 588-5115

NPI assigned

Apr 16, 2019

Organization subpart

No

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

Authorized official

Name

Erik M Wells, D.C.

Title

Chiropractor

Phone

(253) 584-3838

Specialties & licenses 1

Addresses

Practitioners 1

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

• Ronald Gene Cronk, D.C.

  • Chiropractor
  • Lakewood, WA
  • NPI 1487683892
  NPD (past)

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559865600000",
    "number": "1629631684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6141 93RD ST SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992401",
            "telephone_number": "253-584-3838",
            "fax_number": "253-588-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6141 93RD ST SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992401",
            "telephone_number": "253-584-3838",
            "fax_number": "253-588-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVER CREEK CHIROPRACTIC INC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-16",
        "last_updated": "2019-06-07",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "253-584-3838",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NX0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Occupational Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Clift
• Stephen D Clift, M.D.
• Clincal & Forensic Psychology, Inc., P.S.
• Kari Cline
• Renee Michelle Cline, CO 60971093
• Clover Park School District
• Darcy Lynn Aiyana Cluff, RN
• Elisabeth Clure, BA
• Carla Clyde
• Leah Coakley, LMHCA

• Occupational Health Chiropractor in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Occupational Health Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; 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.