Baldwin Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00001940 Issued in WA

Legal business name

BALDWIN CHIROPRACTIC

Practice address

10700 SE 208TH St Ste 207
Kent, WA 98031-5545

Phone

(253) 854-3185

Fax

(253) 852-9210

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mariam Gedevanishvili

Title

Clinic Administrator

Phone

(253) 854-3185

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1669573820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 SE 208TH ST STE 207",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980315545",
            "telephone_number": "253-854-3185",
            "fax_number": "253-852-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 SE 208TH ST STE 207",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980315545",
            "telephone_number": "253-854-3185",
            "fax_number": "253-852-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALDWIN CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "GEDEVANISHVILI",
        "authorized_official_first_name": "MARIAM",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "253-854-3185",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammad Amin Bakhshi, INTERPRETER
• Karenpreet Kaur Bal, FNP-C
• Sukhjinder Singh Bal, RPH
• Deepa Lakshmmi Balaraman, RD
• Rose Marie Baldridge, CP60235875
• Ryan Ball
• Joan Ballan-Alvarado, RN BSN
• Mawatta Bamba
• Evan Ray Bandy, DC
• Jeremy Tyson Bang, RN, DNP, PMHNP-BC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.