Organization Active NPI

Rochester Wellness Clinic

  • Chiropractor
  • Rochester, WA
National Provider Identifier
1639307382
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034582 Issued in WA
Legal business name
ROCHESTER WELLNESS CLINIC
Practice address
10139 Highway 12 SW
Rochester, WA 98579-8621
Phone
(360) 273-2225
Fax
(360) 273-0202
NPI assigned
Jul 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

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

Authorized official

Name
Jason Walker, D.C.NPI 1831260553
Title
Owner
Phone
(360) 273-2225

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: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH00034582 WA Primary

Addresses

Primary practice location

10139 Highway 12 SW
Rochester, WA 98579-8621

Mailing address

PO Box 14027
Tumwater, WA 98511-4027
Phone (360) 273-2225

Other identifiers 2

IdentifierTypeStateIssuer
7526WAOtherWAREGENCE
1831260553OtherNPI

National Provider Directory

National Provider Directory

Locations

10139 Highway 12 SW
Rochester, WA 98579
Phone (360) 273-2225

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": "1246406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246406400000",
    "number": "1639307382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14027",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985114027",
            "telephone_number": "360-273-2225",
            "fax_number": "360-273-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10139 HIGHWAY 12 SW",
            "city": "ROCHESTER",
            "state": "WA",
            "postal_code": "985798621",
            "telephone_number": "360-273-2225",
            "fax_number": "360-273-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCHESTER WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-01",
        "last_updated": "2009-07-01",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-273-2225",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "7526WA",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1831260553",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; 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.