Theodore Wei-Kit Chan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00034257 Issued in WA

Practice address

4339 W Kennewick Ave
Kennewick, WA 99336-2802

Phone

(509) 735-0311

Fax

(509) 783-1206

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chan Chiropractic Clinic, P.S.Group PAC ID 4981788239, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Chan Chiropractic Clinic, P.S.

  • Chiropractor
  • Kennewick, WA
  • NPI 1235255662
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203033600000",
    "number": "1144307703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5207 S CASCADE PL",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993374548",
            "telephone_number": "509-308-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4339 W KENNEWICK AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993362802",
            "telephone_number": "509-735-0311",
            "fax_number": "509-783-1206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "THEODORE",
        "middle_name": "WEI-KIT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF L&I",
            "identifier": "0172260",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Raydene Chamba
• Erica Chambers, DMD
• Chan Chiropractic Clinic, P.S.
• Aaron W Chan, D.C.
• David W Chan, D.C.
• Raina L Chang, DACM, LAC
• James Patrick Chapados, DDS
• Charles Sung MD PC
• Charles Sung MD PC
• Hazel Charney, MT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.