OLYMPIA CHIROPRACTIC CENTER PS
NPI 1639440084
Chiropractor in Olympia, WA

Active since January 17, 2012
2716 PACIFIC AVE SE, SUITE A, OLYMPIA, WA 98501(360) 943-8250(360) 943-0473 Get Directions Write a Review

NPPES record last updated: May 12, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Olympia Chiropractic Center Ps NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLYMPIA CHIROPRACTIC CENTER PS (NPI 1639440084) is a healthcare organization registered as a chiropractor in Olympia, Washington and active in the NPI registry since January 2012. The organization lists Kristopher William Royal, President, as its authorized official.

NPPES Registry Identity

NPI1639440084
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameOLYMPIA CHIROPRACTIC CENTER PS
Location Address2716 PACIFIC AVE SE, SUITE AOlympia, WA 98501-8804
Mailing Address2716 Pacific Ave Se, Suite AOlympia, WA 98501-8804 · (360) 943-8250 · Fax (360) 943-0473
Fax(360) 943-0473
Organization SubpartNo
Authorized OfficialKristopher William RoyalPresident · (360) 943-8250
Enumeration DateJanuary 17, 2012
Last NPPES UpdateMay 12, 2015
✔ NPI 1639440084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WA · CH60176120
Definition
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.
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X · License CH1277 (WA)
2716 PACIFIC AVE SE, Olympia, WA 98501

Other Identifiers 4

Other22563WA · Labor And Industries
Medicare UPING8901290WA
Other019423001WA · Group Health
Medicare UPING001001032WA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olympia Chiropractic Center Ps is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateWashingtonEnrollment IDO20120503000661Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Olympia Chiropractic Center Ps, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Chiropractic
NPI 1518273416
2716 PACIFIC AVE SE STE A
Olympia, WA 98501
(360) 943-8250
✔ Accepts MedicareSame address
Chiropractic
NPI 1528675527
1218 NE 88TH ST STE 108
Vancouver, WA 98665
(360) 314-4380
94 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Olympia Chiropractic Center Ps's NPI number?

The NPI number for Olympia Chiropractic Center Ps is 1639440084. It was assigned to this organization in the NPPES registry on January 17, 2012.

Where is Olympia Chiropractic Center Ps located?

Olympia Chiropractic Center Ps is located at 2716 Pacific Ave SE Suite A, Olympia, WA 98501. The listed phone number is (360) 943-8250.

What is Olympia Chiropractic Center Ps's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Olympia Chiropractic Center Ps enrolled in Medicare?

Yes. Olympia Chiropractic Center Ps is registered in the Medicare PECOS enrollment system.

When is Olympia Chiropractic Center Ps's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Washington, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Olympia Chiropractic Center Ps?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Olympia Chiropractic Center Ps. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Olympia Chiropractic Center Ps accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Olympia Chiropractic Center Ps as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Olympia Chiropractic Center Ps was last updated on May 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.