Organization Active NPI

Olympic Chiropractic Clinic Inc

  • Orthopedic Chiropractor
  • Port Angeles, WA
National Provider Identifier
1861679425
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
CH00002641 Issued in WA
Legal business name
OLYMPIC CHIROPRACTIC CLINIC INC
Practice address
719 S Laurel St
Port Angeles, WA 98362-6020
Phone
(360) 457-8292
Fax
(360) 457-8274
NPI assigned
Jan 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Authorized official

Name
Dr. Paul Leslie Kendrick, DC
Title
Owner
Phone
(360) 457-8292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NX0800X CH00002641 WA Primary

Addresses

Primary practice location

719 S Laurel St
Port Angeles, WA 98362-6020

Mailing address

719 S Laurel St
Port Angeles, WA 98362-6020
Phone (360) 457-8292

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1861679425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 S LAUREL ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983626020",
            "telephone_number": "360-457-8292",
            "fax_number": "360-457-8274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 S LAUREL ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983626020",
            "telephone_number": "360-457-8292",
            "fax_number": "360-457-8274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIC CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "KENDRICK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-457-8292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "WA",
            "license": "CH00002641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Angeles, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.