Blaine Chiropractic Clinic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00001782 Issued in WA

Legal business name

BLAINE CHIROPRACTIC CLINIC LLC

Practice address

245 H St
Blaine, WA 98230-4021

Phone

(360) 332-1086

Fax

(360) 332-6071

NPI assigned

May 11, 2016

Organization subpart

No

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

Authorized official

Name

Pierre R Constantin, DC

Title

Owner

Phone

(360) 319-3485

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562716800000",
    "number": "1861848699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 H ST",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "982304021",
            "telephone_number": "360-332-1086",
            "fax_number": "360-332-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 H ST",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "982304021",
            "telephone_number": "360-332-1086",
            "fax_number": "360-332-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAINE CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-11",
        "last_updated": "2019-07-10",
        "status": "A",
        "authorized_official_last_name": "CONSTANTIN",
        "authorized_official_first_name": "PIERRE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-319-3485",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUESHIELD",
            "identifier": "063990000",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH",
            "identifier": "456782001",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2091205",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Abby Bennett
• Tracy Berg, PTA
• Jacqueline Elise Bernhagen, PTA
• Birth Support Doula
• Blaine & Birch Bay Family Dentistry
• Blaine Chiropractic Wellness PLLC
• Blaine of Cascadia LLC
• Blaine School District
• Tricia Lynn Blanco, SLPA
• Andrea M Blois, P.T.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.