Family Chiropractic Care Back Pain Clinic PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

CH00001766 Issued in WA

Legal business name

FAMILY CHIROPRACTIC CARE BACK PAIN CLINIC PC

Practice address

1815 Hudson Street
Longview, WA 98632

Phone

(360) 636-2636

Fax

(360) 636-2621

NPI assigned

Apr 21, 2014

Organization subpart

Yes

Parent organization

FAMILY CHIROPRACTIC CARE BACK PAIN CLINIC PCAs reported in NPPES

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

Authorized official

Name

Rick D Still, D.C.

Title

Owner

Phone

(360) 636-2636

Specialties & licenses 1

Addresses

Other identifiers 2

Part of

Fam Chiro Care BK Pain Clin

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

{
    "created_epoch": "1398038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398038400000",
    "number": "1811317548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 HUDSON STREET",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "98632",
            "telephone_number": "360-636-2636",
            "fax_number": "360-636-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 HUDSON STREET",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "98632",
            "telephone_number": "360-636-2636",
            "fax_number": "360-636-2621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHIROPRACTIC CARE BACK PAIN CLINIC PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY CHIROPRACTIC CARE BACK PAIN CLINIC PC",
        "enumeration_date": "2014-04-21",
        "last_updated": "2014-04-21",
        "status": "A",
        "authorized_official_last_name": "STILL",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-636-2636",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "CH00001766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11155590",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G000700235",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kailey Marie Falcon
• Lori F Falkel, P.T.
• Michael D Faloon, MD
• Fammily Chiropractic Care
• Kathryn Fanchi
• Jennifer Lynn Farland, B.S.
• Lauryn Faythe Farnsworth
• William James Farnsworth

• Specialist in Longview, WA
• Providers in Longview, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; 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.