NPIMap

Organization Active NPI

Performance Sport & Spinr

  • Chiropractor
  • Carnation, WA
National Provider Identifier
1881037364
Registry record updated Apr 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60331091 Issued in WA
Legal business name
PERFORMANCE SPORT & SPINR
Practice address
6135 284TH Way NE
Carnation, WA 98014-9517
Phone
(425) 429-4178
NPI assigned
Apr 15, 2013
Last updated
Apr 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2013

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

Authorized official

Name
Zach R Greenwade, D.C.NPI 1609116615
Title
Chiropractic Physician
Phone
(425) 429-4178

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60331091 WA Primary

Addresses

Primary practice location

6135 284TH Way NE
Carnation, WA 98014-9517

Mailing address

6135 284TH Way NE
Carnation, WA 98014-9517
Phone (425) 429-4178

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365984000000",
    "number": "1881037364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6135 284TH WAY NE",
            "city": "CARNATION",
            "state": "WA",
            "postal_code": "980149517",
            "telephone_number": "425-429-4178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6135 284TH WAY NE",
            "city": "CARNATION",
            "state": "WA",
            "postal_code": "980149517",
            "telephone_number": "425-429-4178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE SPORT & SPINR",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-15",
        "last_updated": "2013-04-15",
        "status": "A",
        "authorized_official_last_name": "GREENWADE",
        "authorized_official_first_name": "ZACH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "425-429-4178",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60331091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carnation, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; 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.