Individual provider Active NPI

Craig Allan Werner, D.C.

  • Chiropractor
  • Longview, WA
National Provider Identifier
1104084086
Registry record updated Jul 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034876 Issued in WA
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

Updated by the provider on Jul 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
G8900180OtherWAMEDICARE 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

LicenseStateTypeSpecialty
7916AZMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Battle Ground Advantage Chiropractic PS Chiropractor CurrentSince Jul 31, 2023 Accepting new patients
Napavine Family Chiropractic, PS Chiropractor PastSince Jan 1, 2006 Accepting new patients
Kingman Chiropractic Clinic PC Chiropractor PastSince Jul 1, 2008 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.

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.

Verify at the official NPI Registry.