Organization Active NPI

Summit Family Chiropractic, PLLC

  • Chiropractor
  • Lynnwood, WA
National Provider Identifier
1730232059
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034112 Issued in WA
Legal business name
SUMMIT FAMILY CHIROPRACTIC, PLLC
Practice address
2109 196TH St SW Ste 1
Lynnwood, WA 98036-3800
Phone
(425) 775-9914
NPI assigned
Jan 19, 2007
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. Misty Gargan, D.C.NPI 1396898607
Title
Member Manager
Phone
(425) 775-9914

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00034112 WA Primary

Addresses

Primary practice location

2109 196TH St SW Ste 1
Lynnwood, WA 98036-3800

Mailing address

13005 E Gibson Rd Apt T336
Everett, WA 98204-5363
Phone (425) 775-9914

National Provider Directory

National Provider Directory

Locations

2109 196th St SW
Ste 1
Lynnwood, WA 98036
Phone (425) 775-9914

Practitioners & affiliated clinicians

Practitioners 3

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": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730232059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13005 E GIBSON RD APT T336",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982045363",
            "telephone_number": "425-775-9914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 196TH ST SW STE 1",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980363800",
            "telephone_number": "425-775-9914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT FAMILY CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARGAN",
        "authorized_official_first_name": "MISTY",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "425-775-9914",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, 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.