NPIMap

Organization Active NPI

Tacoma Chiropractic Center LLC

  • Chiropractor
  • Tacoma, WA
National Provider Identifier
1710121322
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
TACOMA CHIROPRACTIC CENTER LLC
Practice address
2611 N Stevens St
Ste 230
Tacoma, WA 98407-4670
Phone
(253) 759-1500
Fax
(253) 759-4172
NPI assigned
Apr 27, 2009
Last updated
Jan 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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

Authorized official

Name
Dr. Robert Stalder, DCNPI 1932118346
Title
Owner
Phone
(425) 281-1594

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2611 N Stevens St
Ste 230
Tacoma, WA 98407-4670

Mailing address

2611 N Stevens St
Tacoma, WA 98407-4670
Phone (253) 759-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090701000554 WA Part B Supplier - Clinic/Group Practice 9436200458 Receives reassigned benefits from 5 practitioners
Practice locations: Tacoma, WA

National Provider Directory

National Provider Directory
Tax ID family
Tacoma Chiropractic Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2420 S Union Ave
Ste 230
Tacoma, WA 98405
Phone (253) 292-0875

2611 N Stevens St
Tacoma, WA 98407
Phone (253) 759-1500

2611 N Stevens St
Ste 230
Tacoma, WA 98407
Phone (253) 759-1500

2611 N Stevens St
Unit B
Tacoma, WA 98407
Phone (253) 759-1500

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1710121322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 N STEVENS ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984074670",
            "telephone_number": "253-759-1500",
            "fax_number": "253-759-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 N STEVENS ST",
            "address_2": "STE 230",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984074670",
            "telephone_number": "253-759-1500",
            "fax_number": "253-759-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TACOMA CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-27",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "STALDER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-281-1594",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; 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.