Everett Accident and Injury Center PS Corp

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00034678 Issued in WA

Legal business name

EVERETT ACCIDENT AND INJURY CENTER PS CORP

Practice address

717 128TH St SW Ste B103
Everett, WA 98204-9349

Phone

(425) 423-7676

NPI assigned

Apr 24, 2008

Organization subpart

No

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

Authorized official

Name

Nicolo Montecalvo, DC

Title

President

Phone

(425) 423-7676

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Reed Ward Burbank, CRNA

  • Certified Registered Nurse Anesthetist
  • Olympia, WA
  • NPI 1093928236

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1861667487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 128TH ST SW STE B103",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982049349",
            "telephone_number": "425-423-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 128TH ST SW STE B103",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982049349",
            "telephone_number": "425-423-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERETT ACCIDENT AND INJURY CENTER PS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "MONTECALVO",
        "authorized_official_first_name": "NICOLO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-423-7676",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clara Corrina Evans, DBHR-PEER
• Karen Evans
• Melanie Sue Evans, LMP
• Philip N Evans, MD
• Everett Accident & Injury Clinic
• Everett Birth Center
• Everett Cardiology & Electrophysiology, P.S.
• Everett Cardiovascular and Thoracic Surgical Associates
• Everett Denture Center PLLC
• Everett E N T PS Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.