NPIMap

Organization Active NPI

Klein Chiropractic P C

  • Chiropractor
  • Lacey, WA
National Provider Identifier
1841462942
Registry record updated Dec 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002026 Issued in WA
Legal business name
KLEIN CHIROPRACTIC P C
Practice address
4720 Yelm Hwy SE
Lacey, WA 98503-4986
Phone
(360) 491-4359
Fax
(360) 491-6417
NPI assigned
Mar 28, 2008
Last updated
Dec 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2011

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

Authorized official

Name
Mr. Peter G Klein, DCNPI 1780741637
Title
Owner
Phone
(360) 491-4359

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
Chiropractor 111N00000X CH00002026 WA Primary

Addresses

Primary practice location

4720 Yelm Hwy SE
Lacey, WA 98503-4986

Mailing address

4720 Yelm Hwy SE
Lacey, WA 98503-4986
Phone (360) 491-4359

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111222000582 WA Part B Supplier - Clinic/Group Practice 2860389624 Receives reassigned benefits from 2 practitioners
Practice locations: Lacey, WA

National Provider Directory

National Provider Directory

Locations

4720 Yelm Hwy SE
Olympia, WA 98503
Phone (360) 491-4359

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324598400000",
    "number": "1841462942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 YELM HWY SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985034986",
            "telephone_number": "360-491-4359",
            "fax_number": "360-491-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 YELM HWY SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985034986",
            "telephone_number": "360-491-4359",
            "fax_number": "360-491-6417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLEIN CHIROPRACTIC P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2011-12-23",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-491-4359",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; 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.