Organization Active NPI

Chiropractic Sports & Family Health Center, P.S.

  • Chiropractor
  • Olympia, WA
National Provider Identifier
1740477298
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
025202 CH00002200 Issued in WA
Legal business name
CHIROPRACTIC SPORTS & FAMILY HEALTH CENTER, P.S.
Practice address
7267 Martin Way E
Olympia, WA 98516-5534
Phone
(360) 438-9609
Fax
(360) 456-7380
NPI assigned
Sep 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Mrs. Karen Kvaternik
Title
Office Manager
Phone
(360) 438-9609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 025202 CH00002200 WA Primary

Addresses

Primary practice location

7267 Martin Way E
Olympia, WA 98516-5534

Mailing address

7267 Martin Way E
Olympia, WA 98516-5534
Phone (360) 438-9609

Other identifiers 2

IdentifierTypeStateIssuer
2007748MedicaidWA
0190622OtherWAWORKERS COMPENSATION

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1740477298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7267 MARTIN WAY E",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985165534",
            "telephone_number": "360-438-9609",
            "fax_number": "360-456-7380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7267 MARTIN WAY E",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985165534",
            "telephone_number": "360-438-9609",
            "fax_number": "360-456-7380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC SPORTS & FAMILY HEALTH CENTER, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "KVATERNIK",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-438-9609",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "025202 CH00002200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2007748",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "0190622",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.