NPIMap

Organization Active NPI

Active Chiropractic Clinic PS

  • Chiropractor
  • Tacoma, WA
National Provider Identifier
1992901326
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00001262 Issued in WA
Legal business name
ACTIVE CHIROPRACTIC CLINIC PS
Practice address
7910 Pacific Ave
Tacoma, WA 98408
Phone
(253) 473-3733
Fax
(253) 473-9517
NPI assigned
Jun 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Wayne D Herstad, DC
Title
Chiropractor
Phone
(253) 473-3733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00001262 WA Primary

Addresses

Primary practice location

7910 Pacific Ave
Tacoma, WA 98408

Mailing address

7910 Pacific Ave
Tacoma, WA 98408
Phone (253) 473-3733

Other names 1

  • Active Chiropractic Former legal business name

National Provider Directory

National Provider Directory

Locations

7910 Pacific Ave
Tacoma, WA 98408
Phone (253) 472-3733

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992901326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7910 PACIFIC AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98408",
            "telephone_number": "253-473-3733",
            "fax_number": "253-473-9517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 PACIFIC AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98408",
            "telephone_number": "253-473-3733",
            "fax_number": "253-473-9517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE CHIROPRACTIC CLINIC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERSTAD",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "253-473-3733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.