Green Lake Chiropractic & Nutritional Healing LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

GREEN LAKE CHIROPRACTIC & NUTRITIONAL HEALING LLC

Practice address

1408 N 80TH St
Seattle, WA 98103-4421

Phone

(206) 523-0121

Fax

(206) 523-0341

NPI assigned

Mar 3, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Steven Polenz, DC

Title

President

Phone

(206) 523-0121

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1649440918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 N 80TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981034421",
            "telephone_number": "206-523-0121",
            "fax_number": "206-523-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 N 80TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981034421",
            "telephone_number": "206-523-0121",
            "fax_number": "206-523-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN LAKE CHIROPRACTIC & NUTRITIONAL HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "POLENZ",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-523-0121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen L Greeley, PT, OCS, COMT,
• Madeline Greeley
• Ronald A Greeley, MA, LMHC
• Rula Green Gladden, MD
• Green Grass Physical Therapy, LLC
• Green Lake Facial Surgery PLLC
• Green Lake Family and Cosmetic Dentistry
• Green Lake Massage Health Center, LLC
• Green Point Acupuncture L.L.C.
• Robin A Green Whipple, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.