Organization Active NPI

Barry a Quam DC PS

  • Chiropractor
  • Kent, WA
National Provider Identifier
1942496773
Registry record updated Aug 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00001274 Issued in WA
Legal business name
BARRY A QUAM DC PS
Practice address
25012 104TH Ave SE
Suite E
Kent, WA 98030-2821
Phone
(253) 854-1233
Fax
(253) 854-1297
NPI assigned
Sep 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2010

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

Authorized official

Name
Barry A Quam, DCNPI 1902842958
Title
Owner
Phone
(253) 854-1233

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00001274 WA Primary

Addresses

Primary practice location

25012 104TH Ave SE
Suite E
Kent, WA 98030-2821

Mailing address

25012 104TH Ave SE
Suite E
Kent, WA 98030-2821
Phone (253) 854-1233

Other names 1

  • Quam Chiropractic Centre Doing business as

National Provider Directory

National Provider Directory

Locations

24909 104th Ave SE
Ste 102
Kent, WA 98030
Phone (206) 854-1233

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282780800000",
    "number": "1942496773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25012 104TH AVE SE",
            "address_2": "SUITE E",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980302821",
            "telephone_number": "253-854-1233",
            "fax_number": "253-854-1297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25012 104TH AVE SE",
            "address_2": "SUITE E",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980302821",
            "telephone_number": "253-854-1233",
            "fax_number": "253-854-1297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY A QUAM DC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2010-08-26",
        "status": "A",
        "authorized_official_last_name": "QUAM",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-854-1233",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quam Chiropractic Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; 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.