Island Chiropractic PS Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6015169250010001 Issued in WA

Legal business name

ISLAND CHIROPRACTIC PS INC

Practice address

551 SE Maylor St
Oak Harbor, WA 98277-5000

Phone

(360) 675-4954

Fax

(360) 675-4968

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Patricia L WassonNPI 1033283528

Title

Doctor of Chiropractic Medicine

Phone

(360) 675-4954

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 4

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

• Patricia L Wasson, DC

  • Chiropractor
  • Oak Harbor, WA
  • NPI 1033283528
  Medicare reassignment Care Compare group Authorized official
• Robert L Shelly, DC

  • Chiropractor
  • Oak Harbor, WA
  • NPI 1700950102
  Medicare reassignment Care Compare group
• Makala Wasson-Shelly, DC

  • Chiropractor
  • Oak Harbor, WA
  • NPI 1881014132
  Medicare reassignment
• Janet L. Elvrum, LMP

  • Massage Therapist
  • Oak Harbor, WA
  • NPI 1215007216
  NPD (past)

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1831306331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 SE MAYLOR ST",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775000",
            "telephone_number": "360-675-4954",
            "fax_number": "360-675-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 SE MAYLOR ST",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775000",
            "telephone_number": "360-675-4954",
            "fax_number": "360-675-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND CHIROPRACTIC PS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "WASSON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC MEDICINE",
        "authorized_official_telephone_number": "360-675-4954"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "6015169250010001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inspired Wellness, PLLC
• Integrated Rehabilitation Group, PC
• Island Assessment and Counseling Center, Inc.
• Island Assessment, LLC
• Island Center for Complementary Medicine Inc P S
• Island County Recovery Services
• Island Eye Care
• Island Family Hearing Clinic LLC
• Island Nutrition, PLLC
• Island of Hope Counseling PLLC

• Chiropractor in Oak Harbor, WA
• Providers in Oak Harbor, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.