Organization Active NPI

Buxbaum Family Chiropractic & Massage

  • Chiropractor
  • Kennewick, WA
National Provider Identifier
1124384094
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60268192 Issued in WA
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

Updated by the provider on Sep 13, 2024

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

Authorized official

Name
Dr. Adam Elijah Buxbaum, DCNPI 1710251442
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
QMP000004556778MedicaidWA
68911064OtherWAPTAN

Other names 1

  • buxbaum family Chiropractic Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151116000418 WA Part B Supplier - Clinic/Group Practice 9032429402 Receives reassigned benefits from 2 practitioners
Practice locations: Kennewick, WA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.