Organization Active NPI

Jolly Way Health Inc., P.S. Dba Mercer Wellness

  • Chiropractor
  • Mercer Island, WA
National Provider Identifier
1922279686
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034804 Issued in WA
Legal business name
JOLLY WAY HEALTH INC., P.S. DBA MERCER WELLNESS
Practice address
7605 SE 27TH St
Ste 103
Mercer Island, WA 98040-2835
Phone
(206) 275-4870
Fax
(206) 275-4876
NPI assigned
Mar 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Authorized official

Name
Dr. Farrell E Jolly, D.C.
Title
President Owner
Phone
(206) 275-4870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00034804 WA Primary

Addresses

Primary practice location

7605 SE 27TH St
Ste 103
Mercer Island, WA 98040-2835

Mailing address

7605 SE 27TH St
Ste 103
Mercer Island, WA 98040-2835
Phone (206) 275-4870

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1922279686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7605 SE 27TH ST",
            "address_2": "STE 103",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402835",
            "telephone_number": "206-275-4870",
            "fax_number": "206-275-4876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7605 SE 27TH ST",
            "address_2": "STE 103",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402835",
            "telephone_number": "206-275-4870",
            "fax_number": "206-275-4876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLLY WAY HEALTH INC., P.S. DBA MERCER WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "JOLLY",
        "authorized_official_first_name": "FARRELL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "206-275-4870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercer Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.