Kim D Christensen, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00001479 Issued in WA

Practice address

12503 SE Mill Plain Blvd
Suite 215a
Vancouver, WA 98684-4009

Phone

(360) 448-6353

Fax

(240) 371-7188

NPI assigned

Aug 23, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Urgent Chiropractic

  • Chiropractor
  • Vancouver, WA
  • NPI 1295037596
  NPD (past) Authorized official
• Contemporary Chiropractic PS

  • Multi-Specialty Clinic/Center
  • Clackamas, OR
  • NPI 1649690660
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1013900372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12503 SE MILL PLAIN BLVD",
            "address_2": "SUITE 215A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986844009",
            "telephone_number": "360-448-6353",
            "fax_number": "240-371-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12503 SE MILL PLAIN BLVD",
            "address_2": "SUITE 215A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986844009",
            "telephone_number": "360-448-6353",
            "fax_number": "240-371-7188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "KIM",
        "middle_name": "D",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001479",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "WA",
            "license": "CH00001479",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "WA",
            "license": "CH00001479",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS",
            "identifier": "8931612",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022898",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "253358",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8378838",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00231843",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeremy Jason Chrisman, DO
• Brandon Chrisopulos, PHARMD
• Emily Christensen
• Helen L Christensen, MSW
• Jacob Dean Christensen
• Martha R Christensen, RC
• Melanie Christensen
• Scott C Christensen, SUDP-T
• Zoie Mae Christensen, LBA, BCBA
• Shaun Larae Christenson, RDH

• Chiropractor in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.