Organization Active NPI

Cascade Chiropractic Center PS Inc

  • Chiropractor
  • Everett, WA
National Provider Identifier
1760502553
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0003280 Issued in WA
Legal business name
CASCADE CHIROPRACTIC CENTER PS INC
Practice address
1723 100TH PL SE
Suite a
Everett, WA 98208-3800
Phone
(425) 337-2225
Fax
(425) 337-2228
NPI assigned
Mar 29, 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
Shawn M Jorgenson, D.C
Title
Director
Phone
(425) 337-2225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0003280 WA Primary

Addresses

Primary practice location

1723 100TH PL SE
Suite a
Everett, WA 98208-3800

Mailing address

1723 100TH PL SE
Suite a
Everett, WA 98208-3800
Phone (425) 337-2225

National Provider Directory

National Provider Directory

Locations

1723 100th Pl SE
Ste A
Everett, WA 98208
Phone (425) 337-2225

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": "1760502553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 100TH PL SE",
            "address_2": "SUITE A",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982083800",
            "telephone_number": "425-337-2225",
            "fax_number": "425-337-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 100TH PL SE",
            "address_2": "SUITE A",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982083800",
            "telephone_number": "425-337-2225",
            "fax_number": "425-337-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE CHIROPRACTIC CENTER PS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JORGENSON",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "425-337-2225",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH0003280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, 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.