Childrens Chiropractic Center Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00003335 Issued in WA

Legal business name

CHILDRENS CHIROPRACTIC CENTER INC

Practice address

1123 N Evergreen Rd
Spokane Valley, WA 99216-1138

Phone

(509) 891-5567

Fax

(509) 891-1506

NPI assigned

Jan 10, 2007

Organization subpart

No

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

Authorized official

Name

Travis D Broughton, DCNPI 1467501619

Title

President

Phone

(509) 891-5567

Specialties & licenses 1

Addresses

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.

• Travis Derrill Broughton, D.C.

  • Chiropractor
  • Spokane Valley, WA
  • NPI 1467501619
  NPD (past) Authorized official

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1881743458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 N EVERGREEN RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161138",
            "telephone_number": "509-891-5567",
            "fax_number": "509-891-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 N EVERGREEN RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161138",
            "telephone_number": "509-891-5567",
            "fax_number": "509-891-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS CHIROPRACTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "BROUGHTON",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-891-5567",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxana Chetverikov, RN
• Chidi Family Clinic, PLLC
• Child, Marriage and Family Counseling, LLC
• Children Family Intervention Respit Services and Therapy (Children First Therapy)
• Children's Home Society of Washington (Akin)
• Marion T Chirayath, MD
• Chiropractic Plus Inc
• Chiropractic Wellness PS Inc
• Chiropractic Works Wellness Center
• Brittany Chisholm, NP

• Chiropractor in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.