Individual provider Active NPI

Nathan Anderson, DC

  • Chiropractor
  • West Richland, WA
National Provider Identifier
1053736397
Registry record updated Feb 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60440427 Issued in WA
Practice address
4791 W Van Giesen St # B
West Richland, WA 99353-5085
Phone
(509) 967-2225
Fax
(509) 967-2900
NPI assigned
Feb 24, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60440427 WA Primary

Addresses

Primary practice location

4791 W Van Giesen St # B
West Richland, WA 99353-5085

Mailing address

PO Box 4665
West Richland, WA 99353-4011
Phone (509) 967-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140324002273 WA Practitioner - Chiropractic 2769613348 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Core Concepts PLLCGroup PAC ID 6608936539, 7 clinicians

Practice addresses (Care Compare)

354 Chardonnay Ave
Suite 1
Prosser, WA 99350-9545
Phone (509) 781-6235

4791 W Van Giesen St
Suite B
West Richland, WA 99353-5085
Phone (509) 967-2225

Hospital & facility affiliations

  • Columbus Community Hospital Hospital, Columbus, TX, CCN 450370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH60440427WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Prosser Chiropractic and Wellness PLLC Chiropractor CurrentSince Sep 16, 2025 Accepting new patients
Core Concepts, PLLC Chiropractor CurrentSince Feb 24, 2014 Accepting new patients
TRSR, PLLC Chiropractor PastSince Feb 24, 2014 Accepting new patients

Locations

354 Chardonnay Ave
Ste 1
Prosser, WA 99350
Phone (509) 781-6235

1776 Fowler St
Ste 5
Richland, WA 99352
Phone (509) 967-2225

4791 W Van Giesen St
#B
West Richland, WA 99353
Phone (509) 967-2225

Networks

  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
  • WA PPO C-SNP

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393200000000",
    "number": "1053736397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4665",
            "city": "WEST RICHLAND",
            "state": "WA",
            "postal_code": "993534011",
            "telephone_number": "509-967-2225",
            "fax_number": "509-967-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4791 W VAN GIESEN ST # B",
            "city": "WEST RICHLAND",
            "state": "WA",
            "postal_code": "993535085",
            "telephone_number": "509-967-2225",
            "fax_number": "509-967-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "NATHAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-24",
        "last_updated": "2014-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60440427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; 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.

Verify at the official NPI Registry.