Organization Active NPI

Orchards Chiropractic Clinic Inc.

  • Chiropractor
  • Vancouver, WA
National Provider Identifier
1154568897
Registry record updated May 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002543 Issued in WA
Legal business name
ORCHARDS CHIROPRACTIC CLINIC INC.
Practice address
11701 NE 95TH St
Suite B
Vancouver, WA 98682-2318
Phone
(360) 892-7202
Fax
(360) 892-7382
NPI assigned
Jan 16, 2009
Last updated
May 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2009

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

Authorized official

Name
Dr. Christopher Darrell Mallory, D.C.NPI 1669423729
Title
President
Phone
(360) 892-7202

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 CH00002543 WA Primary

Addresses

Primary practice location

11701 NE 95TH St
Suite B
Vancouver, WA 98682-2318

Mailing address

11701 NE 95TH St
Suite B
Vancouver, WA 98682-2318
Phone (360) 892-7202

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090313000502 WA Part B Supplier - Clinic/Group Practice 8426115627 Receives reassigned benefits from 1 practitioner
Practice locations: Vancouver, WA

National Provider Directory

National Provider Directory

Locations

11701 NE 95th St
Ste B
Vancouver, WA 98682
Phone (360) 892-7202

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241481600000",
    "number": "1154568897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11701 NE 95TH ST",
            "address_2": "SUITE B",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986822318",
            "telephone_number": "360-892-7202",
            "fax_number": "360-892-7382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11701 NE 95TH ST",
            "address_2": "SUITE B",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986822318",
            "telephone_number": "360-892-7202",
            "fax_number": "360-892-7382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHARDS CHIROPRACTIC CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-16",
        "last_updated": "2009-05-05",
        "status": "A",
        "authorized_official_last_name": "MALLORY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "DARRELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-892-7202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; 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.