Individual provider Active NPI

Daren D Bowlby, D.C.

  • Chiropractor
  • Longview, WA
National Provider Identifier
1184795304
Registry record updated Dec 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00003502 Issued in WA
Practice address
1157 3Rd Ave
Suite 145
Longview, WA 98632-6000
Phone
(360) 575-8897
Fax
(360) 575-8898
NPI assigned
Nov 10, 2006
Last updated
Dec 18, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00003502 WA Primary

Addresses

Primary practice location

1157 3Rd Ave
Suite 145
Longview, WA 98632-6000

Mailing address

1157 3Rd Ave
Suite 145
Longview, WA 98632-6000
Phone (360) 575-8897

Other identifiers 2

IdentifierTypeStateIssuer
BO8569OtherWAREGENCE RIDER NO
120410OtherWALABOR AND INDUSTRIES PROV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050808000196 WA Practitioner - Chiropractic 8729028022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1157 3Rd Ave
Suite 145
Longview, WA 98632-6000
Phone (360) 575-8897

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH00003502WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Daren D. Bowlby DC PS Chiropractor CurrentSince Mar 1, 2005 Accepting new patients
First Choice Medical Center CurrentSince May 19, 2021 Accepting new patients

Locations

1157 3rd Ave
Ste 145
Longview, WA 98632
Phone (360) 430-4930

755 Vandercook Way
Ste 101
Longview, WA 98632
Phone (360) 575-8897

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450396800000",
    "number": "1184795304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 3RD AVE",
            "address_2": "SUITE 145",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986326000",
            "telephone_number": "360-575-8897",
            "fax_number": "360-575-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 3RD AVE",
            "address_2": "SUITE 145",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986326000",
            "telephone_number": "360-575-8897",
            "fax_number": "360-575-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLBY",
        "first_name": "DAREN",
        "middle_name": "D",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2015-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE RIDER NO",
            "identifier": "BO8569",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES PROV",
            "identifier": "120410",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; 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.

Verify at the official NPI Registry.