Organization Active NPI

Colvill Chiropractic, Inc

  • Chiropractor
  • Gig Harbor, WA
National Provider Identifier
1790348092
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
COLVILL CHIROPRACTIC, INC
Practice address
6565 Kimball Dr Ste 101
Gig Harbor, WA 98335-1269
Phone
(253) 857-9100
NPI assigned
Apr 22, 2019
Last updated
Apr 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

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

Authorized official

Name
John Austin Colvill, D.C.NPI 1871066332
Title
President
Phone
(360) 513-5970

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

6565 Kimball Dr Ste 101
Gig Harbor, WA 98335-1269

Mailing address

6565 Kimball Dr Ste 101
Gig Harbor, WA 98335-1269
Phone (360) 513-5970

National Provider Directory

National Provider Directory

Locations

6565 Kimball Dr
Ste 101
Gig Harbor, WA 98335
Phone (253) 857-9100

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": "1555891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555891200000",
    "number": "1790348092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 KIMBALL DR STE 101",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351269",
            "telephone_number": "360-513-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 KIMBALL DR STE 101",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351269",
            "telephone_number": "253-857-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLVILL CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-22",
        "last_updated": "2019-04-22",
        "status": "A",
        "authorized_official_last_name": "COLVILL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "AUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-513-5970",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 22, 2019; 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.