Edward L West, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00001640 Issued in WA

Practice address

6314 19TH St W
Suite 11
Fircrest, WA 98466-6223

Phone

(253) 564-9092

Fax

(253) 565-9045

NPI assigned

Apr 20, 2006

Last updated

Dec 18, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DT Smith Healthgroup PLLC

  dba Family Chiropractic Center P.S.

  • Chiropractor
  • Fircrest, WA
  • NPI 1831641489
  NPD (past)
• PM Health Group PLLC

  • Chiropractor
  • Fircrest, WA
  • NPI 1285012500
  NPD (past)

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1801851852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6314 19TH ST WEST",
            "address_2": "SUITE 11",
            "city": "FIRCREST",
            "state": "WA",
            "postal_code": "984666223",
            "telephone_number": "253-564-9092",
            "fax_number": "253-565-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6314 19TH ST W",
            "address_2": "SUITE 11",
            "city": "FIRCREST",
            "state": "WA",
            "postal_code": "984666223",
            "telephone_number": "253-564-9092",
            "fax_number": "253-565-9045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "EDWARD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801851852",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR & INDUSTRIES",
            "identifier": "0016752",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wakeland Chiropractic Center Inc PS
• Robert Warren Wakeland, BA DC
• Jason Wang, C.A., DIPL. AC.
• Gregory T Wellman, DPT
• Darren Wenz, LICSW
• Kenneth Wheelock, D.C.
• Raymond Wilkinson, DDS
• Tasha Janelle Zimowski, RN MSN CCM
• Shannon D Zook, MPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.