NPIMap

Organization Active NPI

Cornerstone Chiropractic Clinic PS

  • Chiropractor
  • Richland, WA
National Provider Identifier
1164613980
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034658 Issued in WA
Legal business name
CORNERSTONE CHIROPRACTIC CLINIC PS
Practice address
1903 George Washington Way
Richland, WA 99354-2307
Phone
(509) 942-1212
Fax
(509) 942-9155
NPI assigned
Aug 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Authorized official

Name
Dr. Scott Clifton Whitemarsh, D.C.NPI 1366505331
Title
President
Phone
(509) 942-1212

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 CH00034658 WA Primary

Addresses

Primary practice location

1903 George Washington Way
Richland, WA 99354-2307

Mailing address

1903 George Washington Way
Richland, WA 99354-2307
Phone (509) 942-1212

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070830000507 WA Part B Supplier - Clinic/Group Practice 4981797305 Receives reassigned benefits from 1 practitioner
Practice locations: Richland, WA

National Provider Directory

National Provider Directory

Locations

215 Van Giesen St
Richland, WA 99354
Phone (509) 942-1212

1903 George Washington Way
Richland, WA 99354
Phone (509) 942-1212

Practitioners & affiliated clinicians

Practitioners 4

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": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1164613980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 GEORGE WASHINGTON WAY",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993542307",
            "telephone_number": "509-942-1212",
            "fax_number": "509-942-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 GEORGE WASHINGTON WAY",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993542307",
            "telephone_number": "509-942-1212",
            "fax_number": "509-942-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE CHIROPRACTIC CLINIC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "WHITEMARSH",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "CLIFTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-942-1212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.