NPIMap

Organization Active NPI

Vanquaethem Chiropractic Clinic

  • Chiropractor
  • Olympia, WA
National Provider Identifier
1962898932
Registry record updated Apr 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00001423 Issued in WA
Legal business name
VANQUAETHEM CHIROPRACTIC CLINIC
Practice address
1645 Cooper Point Rd SW
Olympia, WA 98502-5735
Phone
(360) 943-6206
Fax
(360) 943-6276
NPI assigned
Apr 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2015

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

Authorized official

Name
Mr. Patrick Leo Vanquaethem, DC
Title
Doctor of Chiropractic
Phone
(360) 943-6206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00001423 WA Primary

Addresses

Primary practice location

1645 Cooper Point Rd SW
Olympia, WA 98502-5735

Mailing address

1645 Cooper Point Rd SW
Olympia, WA 98502-5735
Phone (360) 943-6206

National Provider Directory

National Provider Directory

Locations

1645 Cooper Point Rd SW
Olympia, WA 98502
Phone (360) 943-6206

Practitioners & affiliated clinicians

Practitioners 9

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": "1428364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428364800000",
    "number": "1962898932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 COOPER POINT RD SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025735",
            "telephone_number": "360-943-6206",
            "fax_number": "360-943-6276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 COOPER POINT RD SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025735",
            "telephone_number": "360-943-6206",
            "fax_number": "360-943-6276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANQUAETHEM CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-07",
        "last_updated": "2015-04-07",
        "status": "A",
        "authorized_official_last_name": "VANQUAETHEM",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "LEO",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "360-943-6206",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; 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.