Organization Active NPI

Marconi Chiropractic and Wellness

  • Multi-Specialty Clinic/Center
  • Bonney Lake, WA
National Provider Identifier
1851741698
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
CH00034645 Issued in WA
Legal business name
MARCONI CHIROPRACTIC AND WELLNESS
Practice address
11207 McCutcheon Rd
Bonney Lake, WA 98391-8103
Phone
(253) 579-2793
NPI assigned
Jun 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Authorized official

Name
Dr. Michelle Marconi, D.C.
Title
Owner
Phone
(253) 579-2793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X CH00034645 WA Primary

Addresses

Primary practice location

11207 McCutcheon Rd
Bonney Lake, WA 98391-8103

Mailing address

1002 Martin Luther King Jr Way
Tacoma, WA 98405-4150

National Provider Directory

National Provider Directory

Locations

1002 S K St
Tacoma, WA 98405
Phone (253) 750-3381

NPI Registry JSON

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1851741698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 MARTIN LUTHER KING JR WAY",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11207 MCCUTCHEON RD",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983918103",
            "telephone_number": "253-579-2793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCONI CHIROPRACTIC AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "MARCONI",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-579-2793",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "WA",
            "license": "CH00034645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonney Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.