Northwest Family Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2705 Issued in WA

Legal business name

NORTHWEST FAMILY CHIROPRACTIC PC

Practice address

17615 85TH Avenue CT E
Puyallup, WA 98375-1859

Phone

(253) 848-6603

Fax

(253) 445-9430

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Lynn Holmes, D.C.NPI 1366555765

Title

Doctor of Chiropractic

Phone

(253) 848-6603

Specialties & licenses 1

Addresses

Other identifiers 5

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.

• Jeffrey L Holmes, D.C.

  • Orthopedic Chiropractor
  • Puyallup, WA
  • NPI 1366555765
  Medicare reassignment NPD Authorized official
• Carissa Vance

  • Massage Therapist
  • Puyallup, WA
  • NPI 1487341426
  NPD
• Michael L Kravetz, MD

  • Physical Medicine & Rehabilitation Physician
  • Glendale, AZ
  • NPI 1952323446
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525651200000",
    "number": "1689728610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17615 85TH AVENUE CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983751859",
            "telephone_number": "253-848-6603",
            "fax_number": "253-445-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17615 85TH AVENUE CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983751859",
            "telephone_number": "253-848-6603",
            "fax_number": "253-445-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST FAMILY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2018-05-07",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "253-848-6603",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "2705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA UBI#",
            "identifier": "601879408",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA CHIRO LICENSE",
            "identifier": "2705",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "H04731",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LNI PROVIDER #",
            "identifier": "LNI",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350050140",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heidi M Nordling, PA-C
• Nordquist Family Chiropractic
• Nordquist Integrated Medicine
• Jonathan J Nordquist, DC
• William Mark Norris, R.PH.
• Northwest Foot and Ankle Center, PS
• Northwest Medical Specialties, PLLC
• Northwest Mental Health Net
• Northwest Sports Performance
• Greg Charles Norton

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; 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.