ACTION CHIROPRATIC NPI 1003005653
Chiropractor in Port Orchard, WA
About ACTION CHIROPRATIC
Action Chiropratic is a provider established in Port Orchard, Washington specializing in chiropractor. The NPI number of Action Chiropratic is 1003005653 and was assigned on October 2007. The practitioner's primary taxonomy code is 111N00000X with license number CH00003380 (WA). The provider is registered as an organization and their NPI record was last updated 13 years ago. Action Chiropratic operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Brian C Willyard Dc (Owner)
A chiropractor like Action Chiropratic helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.
| NPI | 1003005653 |
| Provider Name | ACTION CHIROPRATIC |
| Provider Location Address | 1501 POTTERY AVE PORT ORCHARD, WA 98366 |
| Provider Mailing Address | 1501 POTTERY AVE PORT ORCHARD, WA 98366 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Enumeration Date | 10-19-2007 |
| Last Update Date | 10-19-2007 |
Primary Taxonomy
| Taxonomy Code | 111N00000X |
| Classification | Chiropractor |
| Type | Chiropractic Providers |
| License No. | CH00003380 |
| License State | WA |
| Taxonomy Description | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
Business Address
ACTION CHIROPRATIC
1501 POTTERY AVE
PORT ORCHARD, WA
ZIP 98366
Phone: (360) 876-6865
Fax: (360) 876-5507
Mailing Address
ACTION CHIROPRATIC
1501 POTTERY AVE
PORT ORCHARD, WA
ZIP 98366
Phone: (360) 876-6865
Fax: (360) 876-5507
Group Taxonomy
193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| GAB002571 | MEDICARE PIN (08) | WA |
Other Providers at the same location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1114133808 | MRS. KATINA MARIE DURST LMP Individual | Massage Therapist | 1501 POTTERY AVE PORT ORCHARD, WA 98366 (360) 876-6865 |
| 1255517264 | MARSHA TRIVETT Individual | Massage Therapist | 1501 POTTERY AVE PORT ORCHARD, WA 98366 (360) 876-6865 |
| 1467998070 | JESSICA MASON LMP Individual | Massage Therapist | 1501 POTTERY AVE PORT ORCHARD, WA 98366 (360) 876-6865 |
| 1679772594 | SHANNON MARIE BERGER LMP Individual | Massage Therapist | 1501 POTTERY AVE PORT ORCHARD, WA 98366 (360) 876-6865 |
| 1699949172 | DR. ALEX CARLTON PLUM D.C. Individual | Chiropractor | 1501 POTTERY AVE PORT ORCHARD, WA 98366 (360) 876-6865 |
| 1710128103 | DR. BRANDON ERIC SHUMAKER D.C. Individual | Chiropractor | 1501 POTTERY AVE PORT ORCHARD, WA 98366 (360) 876-6865 |
| 1720195761 | DR. DOUGLAS SMITH DC Individual | Chiropractor | 1501 POTTERY AVE PORT ORCHARD, WA 98366 (360) 876-6865 |
| 1841255791 | BRIAN C WILLYARD DC Individual | Chiropractor | 1501 POTTERY AVE PORT ORCHARD, WA 98366 (360) 876-6865 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.