Delp Chiropractic
Organization Active NPI Chiropractor · Zillah, WA
NPI 1104249101 · NPPES record last updated Aug 23, 2022
Key facts
- NPI
- 1104249101
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- DELP CHIROPRACTIC
- Practice address
- 607 1St Ave
Zillah, WA 98953-9433 - Phone
- (509) 829-5757
- Fax
- (509) 829-5051
- NPI assigned
- Jan 27, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. Kenneth Michael Delp, D.C.
- Title
- Chiropractor
- Phone
- (509) 930-6563
Practitioners 10
-
Kenneth Delp, D.C.
-
Humberto Acevedo, DC
-
Amy Jean Delp, MA60906187
-
Amber Linnemeyer, MA60905505
-
Raul Juan Villarruel, LMP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140703001119 | WA | Part B Supplier - Clinic/Group Practice | 5193940294 |
Receives reassigned benefits from 2 practitioners Practice locations: Zillah, WA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
607 1St Ave
Zillah, WA 98953-9433
Mailing address
PO Box 504
Zillah, WA 98953-0504
Other providers in Zillah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.