Edward J Stein DC Inc PS

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00000720 Issued in WA

Legal business name

EDWARD J STEIN DC INC PS

Practice address

11109 SE Kent Kangley Rd
Kent, WA 98030-7707

Phone

(253) 852-1963

Fax

(253) 852-1965

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Edward J Stein, DC

Title

President

Phone

(253) 852-1963

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Stein Chiropractic Doing business as

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851413868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11109 SE KENT KANGLEY RD",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980307707",
            "telephone_number": "253-852-1963",
            "fax_number": "253-852-1965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11109 SE KENT KANGLEY RD",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980307707",
            "telephone_number": "253-852-1963",
            "fax_number": "253-852-1965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD J STEIN DC INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-852-1963",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00000720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA BS REGENCE",
            "identifier": "00932",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA BC PREMERA",
            "identifier": "152933152933",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "12778",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stein Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phylliss Marie Eberhardy, MS LMFT CCDCI
• Stacey Eberly
• Richard E. Eccles, M.D.
• Kiana Ecclestone
• Chukwudi Ede
• Edward Lawrence Jones & Assoc
• Aerial Edwards
• Laura M Efta, MSPT
• Julie Hannah Egbert
• Adejo Samuel Egbunu

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.