Active NPI
Thomas Ovenell, D.C.
- Sports Physician Chiropractor
- East Wenatchee, WA
National Provider Identifier
1154404978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 3291
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2023711 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 843 | ID | MD | Sports Physician Chiropractor |
| 809 | MT | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ovenell Chiropractic PS | Current | 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.
-
- Chiropractor
- East Wenatchee, WA
- NPI 1649459090
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.