NPIMap

Organization Active NPI

Collins Chiropractic, PC

  • Chiropractor
  • Burien, WA
National Provider Identifier
1720205446
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034322 Issued in WA
Legal business name
COLLINS CHIROPRACTIC, PC
Practice address
619 SW 152ND St
Burien, WA 98166-2212
Phone
(206) 242-0998
Fax
(206) 244-3962
NPI assigned
Apr 20, 2007
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. Aaron Michael Collins, D.C.NPI 1700813912
Title
President
Phone
(206) 719-6804

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: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00034322 WA Primary

Addresses

Primary practice location

619 SW 152ND St
Burien, WA 98166-2212

Mailing address

619 SW 152ND St
Burien, WA 98166-2212
Phone (206) 242-0998

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070504000200 WA Part B Supplier - Clinic/Group Practice 2860598067 Receives reassigned benefits from 3 practitioners
Practice locations: Burien, WA

National Provider Directory

National Provider Directory

Locations

619 SW 152nd St
Burien, WA 98166
Phone (206) 242-0998

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720205446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 SW 152ND ST",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662212",
            "telephone_number": "206-242-0998",
            "fax_number": "206-244-3962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 SW 152ND ST",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662212",
            "telephone_number": "206-242-0998",
            "fax_number": "206-244-3962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLINS CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-719-6804",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burien, 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.
  • 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.