Cedar River Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CEDAR RIVER CHIROPRACTIC, LLC

Practice address

15301 Maple Valley Hwy
Suite 300
Renton, WA 98058-8128

Phone

(425) 988-3146

Fax

(425) 988-3151

NPI assigned

Apr 14, 2016

Organization subpart

No

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

Authorized official

Name

Wesley Allen Robinson, DCNPI 1750679825

Title

Owner

Phone

(425) 988-3146

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wesley Allen Robinson, D.C.

  • Chiropractor
  • Renton, WA
  • NPI 1750679825
  Medicare reassignment Authorized official
• Lauren Mary Kelder, LMP

  • Massage Therapist
  • Renton, WA
  • NPI 1790333045
  NPD
• Katherine Costales, D.C.

  • Chiropractor
  • Bothell, WA
  • NPI 1720213515
  NPD (past)
• Sharon Wilson, LMP

  • Massage Therapist
  • Renton, WA
  • NPI 1902345283
  NPD (past)

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1114371242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15301 MAPLE VALLEY HWY",
            "address_2": "SUITE 300",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980588128",
            "telephone_number": "425-988-3146",
            "fax_number": "425-988-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15301 MAPLE VALLEY HWY",
            "address_2": "SUITE 300",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980588128",
            "telephone_number": "425-988-3146",
            "fax_number": "425-988-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR RIVER CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-14",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-988-3146",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rory David Cavaille, PHARMD/PA-C
• Kathleen G Cavanaugh, CRNA
• Kendra Rae Cawley, PHARMD
• R.Thomas Cawrse, DDS
• Joann Rea Cawyer
• Cedar River Medical Masage Inc
• Cedar River Psychotherapy & Recovery LLC
• Cedar River Speech Therapy
• Centennial Medical Equipment Inc (Rotech)
• Central Washington Eye Clinic PLLC (Washington Valley Eye Surgery Center)

• Chiropractor in Renton, WA
• Providers in Renton, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.