NPIMap

Organization Active NPI

Vanquaethem Chiropractic at Madison Park, Inc.

  • Chiropractor
  • Seattle, WA
National Provider Identifier
1912107624
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00033902 Issued in WA
Legal business name
VANQUAETHEM CHIROPRACTIC AT MADISON PARK, INC.
Practice address
4105 E Madison St
Suite 2
Seattle, WA 98112-3291
Phone
(206) 726-9595
Fax
(206) 320-1468
NPI assigned
Jul 20, 2007
Last updated
Jul 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

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

Authorized official

Name
Dr. Amy S. Vanquaethem, D.C.NPI 1538236567
Title
Chiropractor
Phone
(206) 726-9595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00033902 WA Primary

Addresses

Primary practice location

4105 E Madison St
Suite 2
Seattle, WA 98112-3291

Mailing address

4105 E Madison St
Suite 2
Seattle, WA 98112-3291
Phone (206) 726-9595

National Provider Directory

National Provider Directory

Locations

4105 E Madison St
Ste 2
Seattle, WA 98112
Phone (206) 726-9595

Practitioners & affiliated clinicians

Practitioners 6

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": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1912107624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 E MADISON ST",
            "address_2": "SUITE 2",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981123291",
            "telephone_number": "206-726-9595",
            "fax_number": "206-320-1468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 E MADISON ST",
            "address_2": "SUITE 2",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981123291",
            "telephone_number": "206-726-9595",
            "fax_number": "206-320-1468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANQUAETHEM CHIROPRACTIC AT MADISON PARK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "VANQUAETHEM",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "206-726-9595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00033902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.