NPIMap

Organization Active NPI

Othello Chiropractic PS

  • Chiropractor
  • Othello, WA
National Provider Identifier
1700974383
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00003288 Issued in WA
Legal business name
OTHELLO CHIROPRACTIC PS
Practice address
225 E. Main St.
Othello, WA 99344-0477
Phone
(509) 488-0797
Fax
(509) 488-1123
NPI assigned
Oct 10, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Grant P Gilbert, D.C.
Title
Chiropractor
Phone
(509) 488-0797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00003288 WA Primary

Addresses

Primary practice location

225 E. Main St.
Othello, WA 99344-0477

Mailing address

225 E. Main St.
P.O. Box 477
Othello, WA 99344-0477
Phone (509) 488-0797

National Provider Directory

National Provider Directory

Locations

225 E Main St
Othello, WA 99344
Phone (509) 488-0797

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700974383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E. MAIN ST.",
            "address_2": "P.O. BOX 477",
            "city": "OTHELLO",
            "state": "WA",
            "postal_code": "993440477",
            "telephone_number": "509-488-0797",
            "fax_number": "509-488-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E. MAIN ST.",
            "city": "OTHELLO",
            "state": "WA",
            "postal_code": "993440477",
            "telephone_number": "509-488-0797",
            "fax_number": "509-488-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTHELLO CHIROPRACTIC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "GRANT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "509-488-0797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Othello, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.