Individual provider Active NPI

Thomas Ovenell, D.C.

  • Sports Physician Chiropractor
  • East Wenatchee, WA
National Provider Identifier
1154404978
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
3291 Issued in WA
Practice address
101 11TH St NE
East Wenatchee, WA 98802-4481
Phone
(509) 886-0131
Fax
(509) 884-8153
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 3291 WA Primary
Sports Physician Chiropractor 111NS0005X 843 ID
Sports Physician Chiropractor 111NS0005X 809 MT

Addresses

Primary practice location

101 11TH St NE
East Wenatchee, WA 98802-4481

Mailing address

101 11TH St NE
East Wenatchee, WA 98802-4481
Phone (509) 886-0131

Other identifiers 1

IdentifierTypeStateIssuer
2023711MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110126000217 WA Practitioner - Chiropractic 4082505128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ovenell Chiropractic PSGroup PAC ID 5092606137, 2 clinicians

Practice addresses (Care Compare)

101 11TH St NE
East Wenatchee, WA 98802-4481
Phone (509) 886-0131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
843IDMDSports Physician Chiropractor
809MTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ovenell Chiropractic PS CurrentSince Apr 1, 2002 Accepting new patients

Locations

723 Central Ave S
Quincy, WA 98848
Phone (509) 787-1438

101 11th St NE
Wenatchee, WA 98802
Phone (509) 884-7137

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291161600000",
    "number": "1154404978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 11TH ST NE",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988024481",
            "telephone_number": "509-886-0131",
            "fax_number": "509-884-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 11TH ST NE",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988024481",
            "telephone_number": "509-886-0131",
            "fax_number": "509-884-8153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVENELL",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2010-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "WA",
            "license": "3291",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "ID",
            "license": "843",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MT",
            "license": "809",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2023711",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.