Federal Way Chiropractic PS

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00001139 Issued in WA

Legal business name

FEDERAL WAY CHIROPRACTIC PS

Practice address

3301 SW 314TH St
Federal Way, WA 98023-7831

Phone

(253) 838-0600

Fax

(253) 927-1300

NPI assigned

Mar 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Duane Keith Mattson, DC

Title

Owner

Phone

(253) 838-0600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351209600000",
    "number": "1679693824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 SW 314TH ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980237831",
            "telephone_number": "253-838-0600",
            "fax_number": "253-927-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 SW 314TH ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980237831",
            "telephone_number": "253-838-0600",
            "fax_number": "253-927-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEDERAL WAY CHIROPRACTIC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2012-10-26",
        "status": "A",
        "authorized_official_last_name": "MATTSON",
        "authorized_official_first_name": "DUANE",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-838-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Fay, LM, CPM
• Federal Way Accident and Injury Clinic PS
• Federal Way Acupuncture Center, PLLC
• Federal Way Audiology, LLC
• Federal Way Birth Center
• Federal Way Dental Clinic
• Federal Way Dental LLC (Comfort Dental)
• Federal Way Family Physicians
• Federal Way Medical Equipment Inc
• Federal Way Medical Investors, LLC (Garden Terrace Healthcare Center of Federal Way)

• Chiropractor in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.