Organization Active NPI

Bella Vita Chiropractic

  • Chiropractor
  • Gig Harbor, WA
National Provider Identifier
1770085649
Registry record updated Mar 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60509530
Legal business name
BELLA VITA CHIROPRACTIC
Practice address
11505 Burnham Dr NW Ste 104
Gig Harbor, WA 98332-9173
Phone
(425) 442-2108
Fax
(360) 668-5673
NPI assigned
Mar 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2018

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

Authorized official

Name
Karen L Salmon
Title
Billing Manager
Phone
(425) 442-2108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH60509530 Primary

Addresses

Primary practice location

11505 Burnham Dr NW Ste 104
Gig Harbor, WA 98332-9173

Mailing address

7307 43Rd Avenue CT NW
Gig Harbor, WA 98335-8304
Phone (425) 442-2108

Other identifiers 1

IdentifierTypeStateIssuer
1821496746OtherNPPES

National Provider Directory

National Provider Directory

Locations

11505 Burnham Dr
Ste 104
Gig Harbor, WA 98332
Phone (360) 434-0898

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520294400000",
    "number": "1770085649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7307 43RD AVENUE CT NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983358304",
            "telephone_number": "425-442-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11505 BURNHAM DR NW STE 104",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983329173",
            "telephone_number": "425-442-2108",
            "fax_number": "360-668-5673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA VITA CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-06",
        "last_updated": "2018-03-06",
        "status": "A",
        "authorized_official_last_name": "SALMON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "425-442-2108"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": "CH60509530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1821496746",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; 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.