Active NPI
Eric Drazich, D.C.
- Chiropractor
- Gold Bar, WA
National Provider Identifier
1013289289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH60834604
- Practice address
- 301 Croft Ave
Gold Bar, WA 98251 - Phone
- (360) 793-0904
- Fax
- (360) 799-0923
- NPI assigned
- Feb 3, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH60834604 | WA | Primary |
Addresses
Primary practice location
301 Croft Ave
Gold Bar, WA 98251
Mailing address
301 Croft Ave
Gold Bar, WA 98251
Phone (360) 793-0904
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
301 Croft Ave W
Gold Bar, WA 98251-9482
Phone (360) 793-0904
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32084 | CA | MD | Psychologist |
| CH60834604 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gold Bar Chiropractic P.L.L.C | Chiropractor | Current | Accepting new patients |
| Mt. Shasta Physical Therapy, Inc. | Past | Accepting new patients |
Locations
301 Croft Ave
Gold Bar, WA 98251
Phone (360) 793-0904
Networks
- WA PPO C-SNP
- devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Monroe, WA
- NPI 1538170097
-
- Physical Therapist
- Mount Shasta, CA
- NPI 1417098070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525651200000",
"number": "1013289289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 CROFT AVE",
"city": "GOLD BAR",
"state": "WA",
"postal_code": "98251",
"telephone_number": "360-793-0904",
"fax_number": "360-799-0923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 CROFT AVE",
"city": "GOLD BAR",
"state": "WA",
"postal_code": "98251",
"telephone_number": "360-793-0904",
"fax_number": "360-799-0923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAZICH",
"first_name": "ERIC",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-03",
"last_updated": "2018-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH60834604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gold Bar, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.