NPIMap

Organization Active NPI

Washington Chiropractic PLLC

  • Chiropractor
  • Tukwila, WA
National Provider Identifier
1821352675
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00003356 Issued in WA
Legal business name
WASHINGTON CHIROPRACTIC PLLC
Practice address
7100 Fun Center Way
#120
Tukwila, WA 98188-5540
Phone
(425) 251-3101
Fax
(425) 228-6566
NPI assigned
Jun 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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

Authorized official

Name
Mark Huck, D.C.NPI 1912051145
Title
Doctor
Phone
(425) 251-3101

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 CH00003356 WA Primary

Addresses

Primary practice location

7100 Fun Center Way
#120
Tukwila, WA 98188-5540

Mailing address

7100 Fun Center Way
#120
Tukwila, WA 98188-5540
Phone (425) 251-3101

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110118001078 WA Part B Supplier - Clinic/Group Practice 5193914455 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Tukwila, WA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

3459 S 152nd St
Tukwila, WA 98188
Phone (206) 241-2225

7100 Fun Center Way
Ste 120
Tukwila, WA 98188
Phone (425) 251-3101

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340668800000",
    "number": "1821352675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 FUN CENTER WAY",
            "address_2": "#120",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981885540",
            "telephone_number": "425-251-3101",
            "fax_number": "425-228-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 FUN CENTER WAY",
            "address_2": "#120",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981885540",
            "telephone_number": "425-251-3101",
            "fax_number": "425-228-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-26",
        "last_updated": "2012-06-26",
        "status": "A",
        "authorized_official_last_name": "HUCK",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "425-251-3101",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tukwila, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.