Organization Active NPI

North Cascades Network Care, PLLC

  • Chiropractor
  • Arlington, WA
National Provider Identifier
1740581792
Registry record updated Aug 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00001602 Issued in WA
Legal business name
NORTH CASCADES NETWORK CARE, PLLC
Doing business as
Smokey Point Chiropractic
Practice address
4113 172ND St NE
Arlington, WA 98223-7737
Phone
(360) 653-4626
Fax
(360) 659-4427
NPI assigned
Nov 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2012

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

Authorized official

Name
Dr. Jay F Goodwin, DCNPI 1336352251
Title
Owner
Phone
(360) 653-4626

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 CH00001602 WA Primary

Addresses

Primary practice location

4113 172ND St NE
Arlington, WA 98223-7737

Mailing address

4113 172ND St NE
Arlington, WA 98223-7737
Phone (360) 653-4626

Other names 1

  • Smokey Point Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121029000127 WA Part B Supplier - Clinic/Group Practice 7214187269 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington, WA

National Provider Directory

National Provider Directory

Locations

4113 172nd St NE
Arlington, WA 98223
Phone (360) 653-4626

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": "1289174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344297600000",
    "number": "1740581792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4113 172ND ST NE",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982237737",
            "telephone_number": "360-653-4626",
            "fax_number": "360-659-4427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4113 172ND ST NE",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982237737",
            "telephone_number": "360-653-4626",
            "fax_number": "360-659-4427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CASCADES NETWORK CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-08",
        "last_updated": "2012-08-07",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-653-4626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smokey Point Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; 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.