NPIMap

Organization Active NPI

Sherwood Chiropractic, PS

  • Chiropractor
  • Issaquah, WA
National Provider Identifier
1669747812
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002595 Issued in WA
Legal business name
SHERWOOD CHIROPRACTIC, PS
Practice address
435 E Sunset Way
Issaquah, WA 98027-3440
Phone
(425) 392-4792
Fax
(425) 837-0311
NPI assigned
Mar 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Authorized official

Name
Dr. Mark Edward Sherwood, DCNPI 1346468519
Title
President
Phone
(425) 392-4792

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 CH00002595 WA Primary

Addresses

Primary practice location

435 E Sunset Way
Issaquah, WA 98027-3440

Mailing address

435 E Sunset Way
Issaquah, WA 98027-3440
Phone (425) 392-4792

National Provider Directory

National Provider Directory

Locations

435 E Sunset Way
Issaquah, WA 98027
Phone (425) 223-3388

Practitioners & affiliated clinicians

Practitioners 4

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": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1669747812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 E SUNSET WAY",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980273440",
            "telephone_number": "425-392-4792",
            "fax_number": "425-837-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 E SUNSET WAY",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980273440",
            "telephone_number": "425-392-4792",
            "fax_number": "425-837-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERWOOD CHIROPRACTIC, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "SHERWOOD",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-392-4792",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.