Organization Active NPI

Summit Chiropractic Center, PLLC

  • Chiropractor
  • Chehalis, WA
National Provider Identifier
1790180206
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60017800 Issued in WA
Legal business name
SUMMIT CHIROPRACTIC CENTER, PLLC
Practice address
2923 Jackson Hwy Ste a
Chehalis, WA 98532-8650
Phone
(360) 996-4800
NPI assigned
Oct 27, 2014
Last updated
Jun 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Authorized official

Name
Dr. Aaron Wilson, D.C.NPI 1205091584
Title
Owner
Phone
(360) 996-4800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60017800 WA Primary

Addresses

Primary practice location

2923 Jackson Hwy Ste a
Chehalis, WA 98532-8650

Mailing address

2923 Jackson Hwy Ste a
Chehalis, WA 98532-8650
Phone (360) 996-4800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141124002355 WA Part B Supplier - Clinic/Group Practice 2466774641 Receives reassigned benefits from 2 practitioners
Practice locations: Chehalis, WA

National Provider Directory

National Provider Directory

Locations

2923 Jackson Hwy
Chehalis, WA 98532
Phone (360) 996-4778

2923 Jackson Hwy
#A
Chehalis, WA 98532
Phone (360) 996-4800

Practitioners & affiliated clinicians

Practitioners 2

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": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1790180206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2923 JACKSON HWY STE A",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985328650",
            "telephone_number": "360-996-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2923 JACKSON HWY STE A",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985328650",
            "telephone_number": "360-996-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT CHIROPRACTIC CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-996-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60017800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chehalis, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.