Active NPI
Craig Allan Werner, D.C.
- Chiropractor
- Longview, WA
National Provider Identifier
1104084086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00034876
- Practice address
- 1312 Vandercook Way
Longview, WA 98632-3902 - Phone
- (360) 266-8800
- Fax
- (360) 425-1277
- NPI assigned
- May 28, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | CH00034876 | WA | Primary |
Addresses
Primary practice location
1312 Vandercook Way
Longview, WA 98632-3902
Mailing address
23008 NE Schauer Dr
Battle Ground, WA 98604-5171
Phone (808) 250-4042
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G8900180 | Other | WA | MEDICARE PTAN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7916 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Battle Ground Advantage Chiropractic PS | Chiropractor | Current | Accepting new patients |
| Napavine Family Chiropractic, PS | Chiropractor | Past | Accepting new patients |
| Kingman Chiropractic Clinic PC | Chiropractor | Past | Accepting new patients |
Locations
1312 Vandercook Way
Longview, WA 98632
Phone (360) 425-6620
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.
-
- Chiropractor
- Battle Ground, WA
- NPI 1104507425
-
- Chiropractor
- Napavine, WA
- NPI 1275577140
-
- Chiropractor
- Kingman, AZ
- NPI 1003970930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311033600000",
"number": "1104084086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23008 NE SCHAUER DR",
"city": "BATTLE GROUND",
"state": "WA",
"postal_code": "986045171",
"telephone_number": "808-250-4042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1312 VANDERCOOK WAY",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986323902",
"telephone_number": "360-266-8800",
"fax_number": "360-425-1277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WERNER",
"first_name": "CRAIG",
"middle_name": "ALLAN",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-28",
"last_updated": "2011-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00034876",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "G8900180",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Longview, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.