Organization Active NPI

Active Chiropractic Inc

  • Chiropractor
  • Renton, WA
National Provider Identifier
1780668228
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00003086 Issued in WA
Legal business name
ACTIVE CHIROPRACTIC INC
Practice address
3507 NE Sunset Blvd
Renton, WA 98056-3330
Phone
(425) 277-0222
Fax
(425) 277-0246
NPI assigned
Nov 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Authorized official

Name
Dr. Joseph Taylor Aaron, DC
Title
President Owner Provider
Phone
(425) 277-0222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH00003086 WA Primary

Addresses

Primary practice location

3507 NE Sunset Blvd
Renton, WA 98056-3330

Mailing address

3507 NE Sunset Blvd
Renton, WA 98056-3330
Phone (425) 277-0222

Other identifiers 1

IdentifierTypeStateIssuer
0157580OtherWADEPT. OF LABOR & INDUSTRIES

Other names 1

  • Active Chiropractic Former legal business name

National Provider Directory

National Provider Directory

Locations

3507 NE Sunset Blvd
Renton, WA 98056
Phone (425) 277-0222

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": "1133222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284508800000",
    "number": "1780668228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 NE SUNSET BLVD",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980563330",
            "telephone_number": "425-277-0222",
            "fax_number": "425-277-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3507 NE SUNSET BLVD",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980563330",
            "telephone_number": "425-277-0222",
            "fax_number": "425-277-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-29",
        "last_updated": "2010-09-15",
        "status": "A",
        "authorized_official_last_name": "AARON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "PRESIDENT OWNER PROVIDER",
        "authorized_official_telephone_number": "425-277-0222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF LABOR & INDUSTRIES",
            "identifier": "0157580",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.