Kenneth B Shotwell, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00001854 Issued in WA

Practice address

118 E Haller
Arlington, WA 98223-9131

Phone

(360) 435-2222

NPI assigned

Apr 23, 2007

Last updated

Dec 15, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Shotwell Chiropractic, PS

  • Chiropractor
  • Arlington, WA
  • NPI 1407034903
  Authorized official Same address or phone

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229299200000",
    "number": "1821216805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 616",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982230501",
            "telephone_number": "360-435-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 E HALLER",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982239131",
            "telephone_number": "360-435-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOTWELL",
        "first_name": "KENNETH",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2008-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT L&I PROVIDER #",
            "identifier": "24616",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paula B Shepherd, LMP
• Lynne Budde Sheppard, L.AC.
• Laureen Sherson, LMP
• Nicholas Shinn
• Shotwell Chiropractic, PS
• Shuwen Lisa Lu, DDS, PLLC (Arlington Dental Group)
• Sight Partners Physicians, P.C.
• Sight Partners Physicians, P.C. (Northwest Eye Surgeons)
• Sight Partners Physicians, P.C. (Northwest Eye Surgeons)
• Thomas Silberberger, M.S., A.T.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2008; 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.