Independent Spinal Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

INDEPENDENT SPINAL CENTER

Doing business as

Bavarian Chiropractic Clinic

Practice address

1500 Alpensee Strasse
Leavenworth, WA 98826-9308

Phone

(509) 548-5727

NPI assigned

Mar 4, 2020

Organization subpart

No

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

Authorized official

Name

Lydia Alice Zajackowski, DC

Title

Chiropractor

Phone

(509) 548-5727

Specialties & licenses 1

Addresses

Other names 1

• Bavarian Chiropractic Clinic Doing business as

Electronic endpoints 1

Locations

Practitioners 1

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

• Thomas A Stanton, DC

  • Chiropractor
  • Leavenworth, WA
  • NPI 1033288436
  NPD (past)

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1801421417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 559",
            "city": "DRYDEN",
            "state": "WA",
            "postal_code": "988210559",
            "telephone_number": "509-548-5727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 ALPENSEE STRASSE",
            "city": "LEAVENWORTH",
            "state": "WA",
            "postal_code": "988269308",
            "telephone_number": "509-548-5727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT SPINAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "ZAJACKOWSKI",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_middle_name": "ALICE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "509-548-5727",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bavarianchiropractic.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "1500 Alpensee Strasse",
            "city": "Leavenworth",
            "state": "WA",
            "country_code": "US",
            "postal_code": "988269308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Bavarian Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marvin L. Hinz, MSW, LICSW
• Gayle Bean Holeton
• Holly Holton, L.M.T.
• Aisha Houghton, LICSW
• Billy Derek Huddleston
• Jerome T Jerome III, MD
• Samantha Jerome, RN
• John M Schiefelbein, DMD, PLLC
• Nancy Kalionzes
• Sonia M Karumsi, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.