Active NPI
John Christopher Bauman, DC
- Chiropractor
- Vancouver, WA
National Provider Identifier
1083790463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00003135
- Practice address
- 202 E McLoughlin Blvd
Vancouver, WA 98663-3369 - Phone
- (360) 693-0400
- Fax
- (360) 693-6156
- NPI assigned
- Oct 28, 2006
- 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 | CH00003135 | WA | Primary |
Addresses
Primary practice location
202 E McLoughlin Blvd
Vancouver, WA 98663-3369
Mailing address
202 E McLoughlin Blvd
Vancouver, WA 98663-3369
Phone (360) 693-0400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0206445 | Other | WA | LABOR AND INDUSTRY |
| 105938 | Other | WA | WA LABOR & INDUSTRY ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593993600000",
"number": "1083790463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 E MCLOUGHLIN BLVD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986633369",
"telephone_number": "360-693-0400",
"fax_number": "360-693-6156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 E MCLOUGHLIN BLVD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986633369",
"telephone_number": "360-693-0400",
"fax_number": "360-693-6156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUMAN",
"first_name": "JOHN",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-28",
"last_updated": "2020-07-06",
"certification_date": "2020-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00003135",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRY",
"identifier": "0206445",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA LABOR & INDUSTRY ID",
"identifier": "105938",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.