Individual provider Active NPI

John Jarolimek Jr., D.C.

  • Chiropractor
  • Mount Vernon, WA
National Provider Identifier
1700919271
Registry record updated Nov 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002005 Issued in WA
Practice address
414 Snoqualmie St
Ste B
Mount Vernon, WA 98273-4224
Phone
(360) 336-5300
Fax
(360) 336-5859
NPI assigned
Mar 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00002005 WA Primary

Addresses

Primary practice location

414 Snoqualmie St
Ste B
Mount Vernon, WA 98273-4224

Mailing address

PO Box 1168
Mount Vernon, WA 98273-1168
Phone (360) 336-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH00002005WAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195689600000",
    "number": "1700919271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1168",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982731168",
            "telephone_number": "360-336-5300",
            "fax_number": "360-336-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 SNOQUALMIE ST",
            "address_2": "STE B",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982734224",
            "telephone_number": "360-336-5300",
            "fax_number": "360-336-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAROLIMEK",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.