NPIMap

Organization Active NPI

Dandrea Chiropractic Inc., P.C.

  • Chiropractor
  • Olympia, WA
National Provider Identifier
1013098102
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034604 Issued in WA
Legal business name
DANDREA CHIROPRACTIC INC., P.C.
Practice address
1800 Cooper Point Rd SW
BLDG 12
Olympia, WA 98502-1178
Phone
(360) 352-9100
Fax
(360) 943-6276
NPI assigned
Oct 17, 2006
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. Raymond Michael Dandrea, D.C.NPI 1033123500
Title
Owner/Chiropractor
Phone
(360) 352-9100

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: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00034604 WA Primary

Addresses

Primary practice location

1800 Cooper Point Rd SW
BLDG 12
Olympia, WA 98502-1178

Mailing address

PO Box 2222
Olympia, WA 98507-2222
Phone (360) 352-9100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070430000685 WA Part B Supplier - Clinic/Group Practice 8022114560 Receives reassigned benefits from 1 practitioner
Practice locations: Olympia, WA

National Provider Directory

National Provider Directory

Locations

1800 Cooper Point Rd SW
Ste 12
Olympia, WA 98502
Phone (360) 352-9100

1655 Cooper Point Rd SW
Olympia, WA 98502
Phone (360) 352-9100

Practitioners & affiliated clinicians

Practitioners 8

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": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013098102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2222",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985072222",
            "telephone_number": "360-352-9100",
            "fax_number": "360-943-6276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 COOPER POINT RD SW",
            "address_2": "BLDG 12",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985021178",
            "telephone_number": "360-352-9100",
            "fax_number": "360-943-6276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANDREA CHIROPRACTIC INC., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DANDREA",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "360-352-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034604",
            "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 Aug 22, 2020; 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.