James G Victor, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00001381 Issued in WA

Practice address

628 3Rd St SE
Puyallup, WA 98372-3208

Phone

(253) 845-6636

NPI assigned

Feb 12, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Health Chiropractic, Inc.

  • Health Service Clinic/Center
  • Puyallup, WA
  • NPI 1003094509

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871635557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 3RD ST SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723208",
            "telephone_number": "253-845-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 3RD ST SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723208",
            "telephone_number": "253-845-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICTOR",
        "first_name": "JAMES",
        "middle_name": "G",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2036200",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vesica Wellness PLLC
• Autumn Nicole Via
• Sarah Colleen Vialpando, CNM
• Heyk Viana
• Vianey Rubio PLLC
• Siara Victorian, LMFTA
• Stacia Ann Vierra, LICSW
• Viewpoint Endocrinology PLLC
• Jacquelyn Villasenor
• Kaelin Vince Cruz, ARNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.