Olympic Chiropractic Clinic Inc

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

Last updated

Apr 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul Leslie Kendrick, DCNPI 1669537718

Title

Owner

Phone

(360) 457-8292

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Paul Leslie Kendrick, DC

  • Orthopedic Chiropractor
  • Port Angeles, WA
  • NPI 1669537718
  Authorized official Same address or phone
• Jody Ann Schweyen, D.C.

  • Chiropractor
  • Port Angeles, WA
  • NPI 1306913967
  NPD (past)

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": []
}

• Ivy Okonkwo
• Wendy Sue Olsen, LMHC
• Emma Olson, NAC
• Laura Margot Olvera, CDP,CDS III
• Olympic Ambulance Service Inc.
• Olympic Community Action Programs
• Olympic Medical Center
• Olympic Medical Physicians
• Olympic Peninsula Community Clinic
• Olympic Peninsula Community Clinic

• Orthopedic Chiropractor in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Orthopedic Chiropractor in Washington

• 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.