NPIMap

Organization Active NPI

Northwest Clinic of Chiropractic

  • Chiropractor
  • Normandy Park, WA
National Provider Identifier
1801071576
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034734 Issued in WA
Legal business name
NORTHWEST CLINIC OF CHIROPRACTIC
Practice address
19655 1St Ave S
#205
Normandy Park, WA 98148-2166
Phone
(206) 429-2922
Fax
(206) 429-2422
NPI assigned
Dec 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Dr. Ashley Brook Rusnak, D.C.NPI 1649277609
Title
Owner/Manager/Chiropractor
Phone
(206) 429-2922

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X CH00034720 WA
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X CH00034734 WA Primary

Addresses

Primary practice location

19655 1St Ave S
#205
Normandy Park, WA 98148-2166

Mailing address

19655 1St Ave S
#205
Normandy Park, WA 98148-2166
Phone (206) 429-2922

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080218000374 WA Part B Supplier - Clinic/Group Practice 6406939206 Receives reassigned benefits from 2 practitioners
Practice locations: Normandy Park, WA

National Provider Directory

National Provider Directory

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": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1801071576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19655 1ST AVE S",
            "address_2": "#205",
            "city": "NORMANDY PARK",
            "state": "WA",
            "postal_code": "981482166",
            "telephone_number": "206-429-2922",
            "fax_number": "206-429-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19655 1ST AVE S",
            "address_2": "#205",
            "city": "NORMANDY PARK",
            "state": "WA",
            "postal_code": "981482166",
            "telephone_number": "206-429-2922",
            "fax_number": "206-429-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST CLINIC OF CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "RUSNAK",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "BROOK",
        "authorized_official_title_or_position": "OWNER/MANAGER/CHIROPRACTOR",
        "authorized_official_telephone_number": "206-429-2922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034720",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Normandy Park, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.