Organization Active NPI

Pittman Family Chiropractic, Inc

  • Chiropractor
  • Tukwila, WA
National Provider Identifier
1740300458
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PITTMAN FAMILY CHIROPRACTIC, INC
Practice address
13028 Interurban Ave S
Suite 106
Tukwila, WA 98168-3340
Phone
(206) 957-7950
Fax
(206) 957-7952
NPI assigned
Mar 29, 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. Micah W Pittman, D.C., BSCNPI 1740300425
Title
Vice President
Phone
(425) 457-0470

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 WA Primary

Addresses

Primary practice location

13028 Interurban Ave S
Suite 106
Tukwila, WA 98168-3340

Mailing address

13028 Interurban Ave S
Suite 106
Tukwila, WA 98168-3340
Phone (206) 957-7950

Other identifiers 1

IdentifierTypeStateIssuer
2006073131740267247OtherWAHEALTHWAYS WHOLEHEALTH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740300458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13028 INTERURBAN AVE S",
            "address_2": "SUITE 106",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981683340",
            "telephone_number": "206-957-7950",
            "fax_number": "206-957-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13028 INTERURBAN AVE S",
            "address_2": "SUITE 106",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981683340",
            "telephone_number": "206-957-7950",
            "fax_number": "206-957-7952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITTMAN FAMILY CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "MICAH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "425-457-0470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., BSC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHWAYS WHOLEHEALTH",
            "identifier": "2006073131740267247",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tukwila, 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.