Champion Chiropractic Center, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2707 Issued in WA

Legal business name

CHAMPION CHIROPRACTIC CENTER, INC

Practice address

4315 6TH Ave SE Ste D
Lacey, WA 98503-1041

Phone

(360) 438-6559

Fax

(360) 352-4202

NPI assigned

Jul 31, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Steven Lynn Sandifer, DCNPI 1467526244

Title

President

Phone

(360) 438-6559

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 2

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

• Steven Lynn Sandifer, D.C.

  • Radiology Chiropractor
  • Lacey, WA
  • NPI 1467526244
  Medicare reassignment Authorized official
• Grace Sandifer, LMT

  • Massage Therapist
  • Olympia, WA
  • NPI 1205603024
  NPD

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185840000000",
    "number": "1962692327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 6TH AVE SE SUITE D",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031041",
            "telephone_number": "360-438-6559",
            "fax_number": "360-352-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 6TH AVE SE STE D",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031041",
            "telephone_number": "360-438-6559",
            "fax_number": "360-352-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION CHIROPRACTIC CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2007-07-31",
        "status": "A",
        "authorized_official_last_name": "SANDIFER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-438-6559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "2707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine H Chae, PHARMD
• Angie Chamberlain
• Magdalena Maria Chamberlain
• Avery Champagne
• Elijah Champagne, DC
• Angela I Chan, M.D.
• Lauren Chan
• Man Wah Mackie Chan, MD
• Tina Chance
• Jacqueline Chaney, LMHC, NCC, PHD

• Chiropractor in Lacey, WA
• Providers in Lacey, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; 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.