NPIMap

Organization Active NPI

Chiropractic Care Center NW PS Inc

Doing business as Chiropractic Care Center

  • Chiropractor
  • Camas, WA
National Provider Identifier
1013042316
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHIROPRACTIC CARE CENTER NW PS INC
Doing business as
Chiropractic Care Center
Practice address
1905 SE 192ND Ave
Suite 111
Camas, WA 98607-7484
Phone
(360) 844-5671
Fax
(360) 954-5413
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Authorized official

Name
Dr. Paul M Scott, DCNPI 1659323400
Title
President
Phone
(360) 844-5671

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X WA Primary

Addresses

Primary practice location

1905 SE 192ND Ave
Suite 111
Camas, WA 98607-7484

Mailing address

1905 SE 192ND Ave
Suite 111
Camas, WA 98607-7484
Phone (360) 844-5671

Other identifiers 1

IdentifierTypeStateIssuer
601928781OtherWAUNIFIED BUSINESS ID NUMBE

Other names 1

  • Chiropractic Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040405000307 WA Part B Supplier - Clinic/Group Practice 6507859816 Receives reassigned benefits from 1 practitioner
Practice locations: Camas, WA

National Provider Directory

National Provider Directory

Locations

1905 SE 192nd Ave
Ste 111
Camas, WA 98607
Phone (360) 844-5671

5500 NE 109th Ct
Ste O
Vancouver, WA 98662
Phone (360) 253-6503

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": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1013042316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 SE 192ND AVE",
            "address_2": "SUITE 111",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986077484",
            "telephone_number": "360-844-5671",
            "fax_number": "360-954-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 SE 192ND AVE",
            "address_2": "SUITE 111",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986077484",
            "telephone_number": "360-844-5671",
            "fax_number": "360-954-5413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC CARE CENTER NW PS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-844-5671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIFIED BUSINESS ID NUMBE",
            "identifier": "601928781",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camas, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; 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.