Organization Active NPI

Avise Chiropractic P L L C

  • Chiropractor
  • Auburn, WA
National Provider Identifier
1740912500
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
AVISE CHIROPRACTIC P L L C
Practice address
4017 A St SE # B101
Auburn, WA 98002-8607
Phone
(253) 939-8144
Fax
(253) 939-2289
NPI assigned
Jun 29, 2022
Last updated
Jun 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Authorized official

Name
Anh Thu Hoang Nguyen
Title
Office Manager
Phone
(253) 293-2444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

4017 A St SE # B101
Auburn, WA 98002-8607

Mailing address

4017 A St SE # B101
Auburn, WA 98002-8607
Phone (253) 939-8144

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241017001311 WA Part B Supplier - Clinic/Group Practice 5698207439 Receives reassigned benefits from 4 practitioners
Practice locations: Auburn, WA

National Provider Directory

National Provider Directory

Locations

4017 A St SE
Auburn, WA 98002

4017 A St SE
#B101
Auburn, WA 98002
Phone (253) 939-8144

4017 A St SE
Ste B101
Auburn, WA 98002
Phone (253) 939-8144

Practitioners & affiliated clinicians

Practitioners 10

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": "1656460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1740912500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4017 A ST SE # B101",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980028607",
            "telephone_number": "253-939-8144",
            "fax_number": "253-939-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4017 A ST SE # B101",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980028607",
            "telephone_number": "253-939-8144",
            "fax_number": "253-939-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVISE CHIROPRACTIC P L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-29",
        "last_updated": "2024-06-03",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "ANH THU",
        "authorized_official_middle_name": "HOANG",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "253-293-2444"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.