CC Sports Injury

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH34408 Issued in WA

Legal business name

CC SPORTS INJURY

Practice address

7631 212TH St SW Ste 108C
Edmonds, WA 98026-7565

Phone

(425) 775-9601

Fax

(425) 775-9608

NPI assigned

Jul 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sean Corey Salazar

Title

Ceo

Phone

(425) 775-9601

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1699974048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7631 212TH ST SW STE 108C",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267565",
            "telephone_number": "425-775-9601",
            "fax_number": "425-775-9608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7631 212TH ST SW STE 108C",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267565",
            "telephone_number": "425-775-9601",
            "fax_number": "425-775-9608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CC SPORTS INJURY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "SALAZAR",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "COREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "425-775-9601",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH34408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystel Castillo
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• Robert G Chaffee, MD
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• Chiropractor in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.