Brewster Chiropractic Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH60304364 Issued in WA

Legal business name

BREWSTER CHIROPRACTIC CENTER

Practice address

319 East Main Ave
Brewster, WA 98812

Phone

(509) 689-3516

Fax

(509) 689-3516

NPI assigned

Dec 31, 2012

Last updated

Dec 31, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tyler Ryan Copenhaver, DCNPI 1861744260

Title

0Wner/Chiropractor

Phone

(509) 689-3516

Specialties & licenses 1

Addresses

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.

• Tyler Ryan Copenhaver, D.C.

  • Chiropractor
  • Brewster, WA
  • NPI 1861744260
  NPD Authorized official

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

{
    "created_epoch": "1356912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356912000000",
    "number": "1164768776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1521",
            "city": "BREWSTER",
            "state": "WA",
            "postal_code": "988121521",
            "telephone_number": "509-689-3516",
            "fax_number": "509-689-3516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 EAST MAIN AVE",
            "city": "BREWSTER",
            "state": "WA",
            "postal_code": "98812",
            "telephone_number": "509-689-3516",
            "fax_number": "509-689-3516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREWSTER CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-31",
        "last_updated": "2012-12-31",
        "status": "A",
        "authorized_official_last_name": "COPENHAVER",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "0WNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "509-689-3516",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60304364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrian Tomarere Dental
• Advantage Durable Medical Equipment, Inc
• B Michael Southam O D PC (B. Michael Southam, O.D., PC/ Family Vision Care of Central Washington)
• Kristy Lee Bateman
• Holly Boettger
• Brewster School District
• Brewster School District 111-203J
• Robert T Brown, PAC
• Caribou Trail Professional Medical Group
• Central Washington Gastroenterology, PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.