Olympia Chiropractic Center PS

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH60176120 Issued in WA

Legal business name

OLYMPIA CHIROPRACTIC CENTER PS

Practice address

2716 Pacific Ave SE
Suite a
Olympia, WA 98501-8804

Phone

(360) 943-8250

Fax

(360) 943-0473

NPI assigned

Jan 17, 2012

Last updated

May 12, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kristopher William Royal, DCNPI 1518273416

Title

President

Phone

(360) 943-8250

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 3

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.

• Kristopher William Royal, D.C.

  • Chiropractor
  • Olympia, WA
  • NPI 1518273416
  Medicare reassignment Authorized official
• Erika J Moore, LMT

  • Specialist
  • Olympia, WA
  • NPI 1033285887
  NPD (past)
• Jessica Werner, MA60412429

  • Massage Therapist
  • Olympia, WA
  • NPI 1841738754
  NPD (past)

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

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431388800000",
    "number": "1639440084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 PACIFIC AVE SE",
            "address_2": "SUITE A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985018804",
            "telephone_number": "360-943-8250",
            "fax_number": "360-943-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2716 PACIFIC AVE SE",
            "address_2": "SUITE A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985018804",
            "telephone_number": "360-943-8250",
            "fax_number": "360-943-0473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIA CHIROPRACTIC CENTER PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-17",
        "last_updated": "2015-05-12",
        "status": "A",
        "authorized_official_last_name": "ROYAL",
        "authorized_official_first_name": "KRISTOPHER",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-943-8250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WA",
            "license": "CH1277",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60176120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH",
            "identifier": "019423001",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "22563",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oly Orthodontics
• Olympia Anesthesia Associates, PC
• Olympia Arthritis & Rehabilitation Clinic Inc PS
• Olympia Cardiac Surgery, Inc., P.S.
• Olympia Center for DBT, LLC
• Olympia Emergency Care Physicians PLLC
• Olympia Emergency Services, PLLC
• Olympia Eye Clinic PLLC
• Olympia Eye Clinic PLLC
• Olympia Family Dental

• Chiropractor in Olympia, WA
• Providers in Olympia, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; 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.