Camacho Chiropractic Clinic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CAMACHO CHIROPRACTIC CLINIC LLC

Practice address

127 Frontier Way SW
Mattawa, WA 99349-2092

Phone

(509) 203-7666

Fax

(509) 203-7664

NPI assigned

Oct 17, 2020

Last updated

Oct 17, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

CAMACHO CHIROPRACTIC AND SPORTS MEDICINE LLCAs reported in NPPES

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

Authorized official

Name

Dr. Juan Ramon Camacho, DCNPI 1649776949

Title

Owner/Chiropractor

Phone

(509) 305-5163

Specialties & licenses 2

Addresses

Part of

Camacho Chiropractic

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Camacho Chiropractic and Sports Medicine LLC

  • Rehabilitation Clinic/Center
  • Grandview, WA
  • NPI 1013488360
  NPPES parent name

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.

• Juan Ramon Camacho, DC

  • Independent Medical Examiner Chiropractor
  • Grandview, WA
  • NPI 1649776949
  Authorized official Same address or phone

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

{
    "created_epoch": "1602892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602892800000",
    "number": "1174122527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 FRONTIER WAY SW",
            "city": "MATTAWA",
            "state": "WA",
            "postal_code": "993492092",
            "telephone_number": "509-203-7666",
            "fax_number": "509-203-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 FRONTIER WAY SW",
            "city": "MATTAWA",
            "state": "WA",
            "postal_code": "993492092",
            "telephone_number": "509-203-7666",
            "fax_number": "509-203-7664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMACHO CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAMACHO CHIROPRACTIC AND SPORTS MEDICINE LLC",
        "enumeration_date": "2020-10-17",
        "last_updated": "2020-10-17",
        "certification_date": "2020-10-17",
        "status": "A",
        "authorized_official_last_name": "CAMACHO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "RAMON",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "509-305-5163",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Beaty, ARNP, RN
• Naomi J Berkey, PHARMD
• Elaine Marie Brewer, LMP
• Kelly Natalie Brown, RDH
• Geraldine Cabero, PA-C
• Sarah Michelle Charlton, ARNP
• Misty A Christensen, RDH, EFDA
• Columbia Basin Health Association (Wahluke Pharmacy)
• Columbia Basin Health Association (Wahluke Clinic)
• Columbia Basin Health Association

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2020; 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.