NPIMap

Organization Active NPI

Goldendale Chiropractic & Natural Medicine, LLC

  • Chiropractor
  • Goldendale, WA
National Provider Identifier
1043554157
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
000874 Issued in WA
Legal business name
GOLDENDALE CHIROPRACTIC & NATURAL MEDICINE, LLC
Practice address
216 W Main St
Goldendale, WA 98620-9587
Phone
(509) 773-5633
Fax
(509) 773-5844
NPI assigned
Nov 15, 2012
Last updated
May 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Authorized official

Name
Mrs. Sherry L Carver
Title
Manager
Phone
(509) 773-5633

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 000874 WA Primary
Specialist 174400000X MA60281480 WA
Specialist 174400000X MA00014782 WA
Naturopath 175F00000X NT60221557 WA
Naturopath 175F00000X NT60083768 WA

Addresses

Primary practice location

216 W Main St
Goldendale, WA 98620-9587

Mailing address

216 W Main St
Goldendale, WA 98620-9587
Phone (509) 773-5633

National Provider Directory

National Provider Directory

Locations

216 W Main St
Goldendale, WA 98620
Phone (509) 250-1817

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1043554157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 W MAIN ST",
            "city": "GOLDENDALE",
            "state": "WA",
            "postal_code": "986209587",
            "telephone_number": "509-773-5633",
            "fax_number": "509-773-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 W MAIN ST",
            "city": "GOLDENDALE",
            "state": "WA",
            "postal_code": "986209587",
            "telephone_number": "509-773-5633",
            "fax_number": "509-773-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDENDALE CHIROPRACTIC & NATURAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "CARVER",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "509-773-5633",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "000874",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA60281480",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00014782",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60221557",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60083768",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldendale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.