Wall Family Chiropractic

Primary specialty

Pediatric ChiropractorTaxonomy code 111NP0017X

License

CH60302851 Issued in WA

Legal business name

WALL FAMILY CHIROPRACTIC

Practice address

9621 Mickelberry Rd NW
Ste. 108
Silverdale, WA 98383-8301

Phone

(360) 692-5350

Fax

(360) 692-5354

NPI assigned

Aug 15, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Nathan R Wall, D.C.

Title

Owner

Phone

(360) 692-5350

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1700134137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9621 MICKELBERRY RD NW",
            "address_2": "STE. 108",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838301",
            "telephone_number": "360-692-5350",
            "fax_number": "360-692-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9621 MICKELBERRY RD NW",
            "address_2": "STE. 108",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838301",
            "telephone_number": "360-692-5350",
            "fax_number": "360-692-5354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALL FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-692-5350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "WA",
            "license": "CH60302851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wagner Family Chiropractic Center, PS
• Michael L Wagner, DC
• Michael Joseph Waldman, M.D.
• Rachel Waldman, PA-C
• Walgreen Co
• Rohn Dale Wallace, SUBMARINE IDC
• Cassidy Waln
• Shane A. Walter, IDC
• Kathleen G Warcup, MA
• Chloe Ward

• Pediatric Chiropractor in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Pediatric Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.