NPIMap

Organization Active NPI

RCC PS

  • Chiropractor
  • Tacoma, WA
National Provider Identifier
1932147998
Registry record updated Feb 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002925 Issued in WA
Legal business name
RCC PS
Practice address
4902 Tacoma Mall Blvd
Tacoma, WA 98409-7149
Phone
(253) 473-0300
Fax
(253) 473-0305
NPI assigned
Jun 3, 2006
Last updated
Feb 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2018

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

Authorized official

Name
Janet Burton
Title
Office Manager
Phone
(253) 473-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00002925 WA Primary

Addresses

Primary practice location

4902 Tacoma Mall Blvd
Tacoma, WA 98409-7149

Mailing address

4902 Tacoma Mall Blvd
Tacoma, WA 98409-7149
Phone (253) 473-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171226001072 WA Part B Supplier - Clinic/Group Practice 8022376920 Receives reassigned benefits from 9 practitioners
Practice locations: Tacoma, WA

National Provider Directory

National Provider Directory

Locations

4902 Tacoma Mall Blvd
Tacoma, WA 98409
Phone (253) 473-0300

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517443200000",
    "number": "1932147998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4902 TACOMA MALL BLVD",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097149",
            "telephone_number": "253-473-0300",
            "fax_number": "253-473-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4902 TACOMA MALL BLVD",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097149",
            "telephone_number": "253-473-0300",
            "fax_number": "253-473-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RCC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2018-02-01",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "253-473-0300"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.