Organization Active NPI

Columbia Chiropractic Clinic

  • Chiropractor
  • Wenatchee, WA
National Provider Identifier
1194361469
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
COLUMBIA CHIROPRACTIC CLINIC
Practice address
1303 Princeton Ave N
Wenatchee, WA 98801-1438
Phone
(509) 662-0309
Fax
(509) 664-8962
NPI assigned
Nov 21, 2019
Last updated
Nov 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Authorized official

Name
Dr. John Robert Bailey, DCNPI 1447227574
Title
Ownere
Phone
(509) 662-0309

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1303 Princeton Ave N
Wenatchee, WA 98801-1438

Mailing address

1303 Princeton Ave N
Wenatchee, WA 98801-1438
Phone (509) 662-0309

Other identifiers 2

IdentifierTypeStateIssuer
2039600MedicaidWA
16232OtherWALABOR AND INDUSTRIES

National Provider Directory

National Provider Directory

Locations

1303 Princeton Ave N
Wenatchee, WA 98801
Phone (509) 662-0309

Practitioners & affiliated clinicians

Practitioners 2

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": "1574294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574294400000",
    "number": "1194361469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 PRINCETON AVE N",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988011438",
            "telephone_number": "509-662-0309",
            "fax_number": "509-664-8962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 PRINCETON AVE N",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988011438",
            "telephone_number": "509-662-0309",
            "fax_number": "509-664-8962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-21",
        "last_updated": "2019-11-21",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNERE",
        "authorized_official_telephone_number": "509-662-0309",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2039600",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "16232",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; 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.