Organization Active NPI

Sky Valley Chiropractic Clinic P.S.

  • Chiropractor
  • Monroe, WA
National Provider Identifier
1932541182
Registry record updated Mar 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00001560 Issued in WA
Legal business name
SKY VALLEY CHIROPRACTIC CLINIC P.S.
Practice address
110 N. Blakely St.
Monroe, WA 98272-8867
Phone
(360) 794-7600
Fax
(360) 794-9377
NPI assigned
Jul 29, 2013
Last updated
Mar 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2014

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

Authorized official

Name
Dr. Daniel Lloyd Peltonen, D.C.NPI 1083769509
Title
Owner
Phone
(360) 794-7600

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 CH00001560 WA Primary

Addresses

Primary practice location

110 N. Blakely St.
Monroe, WA 98272-8867

Mailing address

PO Box 867
Monroe, WA 98272-0867
Phone (360) 794-7600

National Provider Directory

National Provider Directory

Locations

110 N Blakeley St
Monroe, WA 98272
Phone (360) 794-7600

Practitioners & affiliated clinicians

Practitioners 2

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": "1375056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394582400000",
    "number": "1932541182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 867",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982720867",
            "telephone_number": "360-794-7600",
            "fax_number": "360-794-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N. BLAKELY ST.",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982728867",
            "telephone_number": "360-794-7600",
            "fax_number": "360-794-9377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKY VALLEY CHIROPRACTIC CLINIC P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-29",
        "last_updated": "2014-03-12",
        "status": "A",
        "authorized_official_last_name": "PELTONEN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-794-7600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; 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.