NPIMap

Organization Active NPI

Issaquah Family Chiropractic, P.S.

  • Chiropractor
  • Sammamish, WA
National Provider Identifier
1801096359
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034219 Issued in WA
Legal business name
ISSAQUAH FAMILY CHIROPRACTIC, P.S.
Practice address
3310 E Lake Sammamish Pkwy SE
Suite D
Sammamish, WA 98075-7497
Phone
(425) 557-8787
NPI assigned
Jul 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

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

Authorized official

Name
Dr. Carrie Jean Babcox, D.C.NPI 1346305125
Title
President
Phone
(425) 557-5757

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00034219 WA Primary

Addresses

Primary practice location

3310 E Lake Sammamish Pkwy SE
Suite D
Sammamish, WA 98075-7497

Mailing address

3310 E Lake Sammamish Pkwy SE
Suite D
Sammamish, WA 98075-7497
Phone (425) 557-8787

Other names 1

  • Issaquah Family Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071127000117 WA Part B Supplier - Clinic/Group Practice 5890883953 Receives reassigned benefits from 9 practitioners
Practice locations: Issaquah, WA

National Provider Directory

National Provider Directory

Locations

1320 NW Mall St
Ste A2
Issaquah, WA 98027
Phone (425) 557-8787

3310 E Lk Sammamish Pkwy SE
Ste D
Sammamish, WA 98075
Phone (425) 557-0787

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1801096359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 E LAKE SAMMAMISH PKWY SE",
            "address_2": "SUITE D",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980757497",
            "telephone_number": "425-557-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 E LAKE SAMMAMISH PKWY SE",
            "address_2": "SUITE D",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980757497",
            "telephone_number": "425-557-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISSAQUAH FAMILY CHIROPRACTIC, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "BABCOX",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-557-5757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Issaquah Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sammamish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; 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.