NPIMap

Organization Active NPI

Chiropractic Health Care Clinic P.S.

  • Chiropractor
  • Bellingham, WA
National Provider Identifier
1942498407
Registry record updated Mar 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034149 Issued in WA
Legal business name
CHIROPRACTIC HEALTH CARE CLINIC P.S.
Practice address
2410 Yew St
Bellingham, WA 98229-3940
Phone
(360) 733-4222
Fax
(360) 733-6433
NPI assigned
Oct 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2013

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

Authorized official

Name
Dr. Brad Vern Smith, D.C.
Title
Owner
Phone
(360) 733-4222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00034149 WA Primary

Addresses

Primary practice location

2410 Yew St
Bellingham, WA 98229-3940

Mailing address

2410 Yew St
Bellingham, WA 98229-3940
Phone (360) 733-4222

Other identifiers 1

IdentifierTypeStateIssuer
GAB35559OtherWAMEDICARE ID-PIN

National Provider Directory

National Provider Directory

Locations

2410 Yew St
Bellingham, WA 98229
Phone (360) 733-4222

Practitioners & affiliated clinicians

Practitioners 10

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": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363564800000",
    "number": "1942498407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 YEW ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982293940",
            "telephone_number": "360-733-4222",
            "fax_number": "360-733-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 YEW ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982293940",
            "telephone_number": "360-733-4222",
            "fax_number": "360-733-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC HEALTH CARE CLINIC P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2013-03-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "VERN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-733-4222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-PIN",
            "identifier": "GAB35559",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; 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.