White Center Chiropractic, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH34448 Issued in WA

Legal business name

WHITE CENTER CHIROPRACTIC, PLLC

Practice address

10030 15TH Ave SW
Seattle, WA 98146-3728

Phone

(206) 763-7464

NPI assigned

Aug 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ian Davis, D.C.NPI 1154359776

Title

Manager/Member

Phone

(206) 763-7464

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Tax ID family

White Center Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• White Center Chiropractic

  • Massage Therapist
  • Seattle, WA
  • NPI 1093189730
  NPD tax ID

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ian Davis, D.C.

  • Chiropractor
  • Seattle, WA
  • NPI 1154359776
  Medicare reassignment NPD Authorized official
• Tesoro Yasmin Escalante, MASSAGE THERAPIST

  • Massage Therapist
  • Seattle, WA
  • NPI 1740952399
  NPD
• Jessica Agada, LMP

  • Community Health Worker
  • Seattle, WA
  • NPI 1487950366
  NPD (past)
• Betty Lou Lewis, LMP

  • Massage Therapist
  • Seattle, WA
  • NPI 1306392923
  NPD (past)
• Tereza Sunshine Murray, LMP

  • Massage Therapist
  • Seattle, WA
  • NPI 1447369210
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1780693085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10030 15TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981463728",
            "telephone_number": "206-763-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10030 15TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981463728",
            "telephone_number": "206-763-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE CENTER CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "MANAGER/MEMBER",
        "authorized_official_telephone_number": "206-763-7464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH34448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Elizabeth Whitaker, ND
• Kaylie Anne Whitbeck, DC
• Kathryn Dorothy Whitchurch Baker, CNNP
• Hollis Whitcomb
• White Center Chiropractic
• White Center Wellness Clinic LLP
• Ixtlixochitl White Hawk
• White Lotus Natural Medicine
• Nicole Brie White Thomas, MD
• White Willow Road Healing Center, LLC

• Chiropractor in Seattle, WA
• Providers in Seattle, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.