Active NPI
Buxbaum Family Chiropractic & Massage
- Chiropractor
- Kennewick, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH60268192
- Legal business name
- BUXBAUM FAMILY CHIROPRACTIC & MASSAGE
- Practice address
- 5373 W Canal Dr Ste 110
Kennewick, WA 99336-1332 - Phone
- (509) 222-1112
- Fax
- (509) 222-1113
- NPI assigned
- Apr 5, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Adam Elijah Buxbaum, DC
- Title
- Owner
- Phone
- (509) 222-1112
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH60268192 | WA | Primary |
Addresses
Primary practice location
5373 W Canal Dr Ste 110
Kennewick, WA 99336-1332
Mailing address
5373 W Canal Dr Ste 110
Kennewick, WA 99336-1332
Phone (509) 222-1112
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| QMP000004556778 | Medicaid | WA | |
| 68911064 | Other | WA | PTAN |
Other names 1
- buxbaum family Chiropractic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151116000418 | WA | Part B Supplier - Clinic/Group Practice | 9032429402 |
Receives reassigned benefits from 2 practitioners Practice locations: Kennewick, WA |
National Provider Directory
National Provider DirectoryLocations
7131 W Deschutes Ave
#102
Kennewick, WA 99336
Phone (509) 222-1112
5373 W Canal Dr
#110
Kennewick, WA 99336
Phone (509) 222-1112
7131 W Deschutes Ave
Kennewick, WA 99336
Phone (509) 222-1112
5373 W Canal Dr
Kennewick, WA 99336
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
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- Kennewick, WA
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-
- Rehabilitation Chiropractor
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-
- Massage Therapist
- Pasco, WA
- NPI 1164871653
-
- Chiropractor
- Kennewick, WA
- NPI 1700232972
-
- Massage Therapist
- Kennewick, WA
- NPI 1235059486
-
- Massage Therapist
- Kennewick, WA
- NPI 1871983486
-
- Massage Therapist
- Kennewick, WA
- NPI 1033867460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726185600000",
"number": "1124384094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5373 W CANAL DR STE 110",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993361332",
"telephone_number": "509-222-1112",
"fax_number": "509-222-1113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5373 W CANAL DR STE 110",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993361332",
"telephone_number": "509-222-1112",
"fax_number": "509-222-1113"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUXBAUM FAMILY CHIROPRACTIC & MASSAGE",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-05",
"last_updated": "2024-09-13",
"certification_date": "2024-09-13",
"status": "A",
"authorized_official_last_name": "BUXBAUM",
"authorized_official_first_name": "ADAM",
"authorized_official_middle_name": "ELIJAH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "509-222-1112",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WA",
"license": "CH60268192",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "QMP000004556778",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "68911064",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "buxbaum family Chiropractic",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.