Organization Active NPI

Synergy Chiropractic LLC

  • Health Service Clinic/Center
  • Wenatchee, WA
National Provider Identifier
1205188539
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
CH60304364 Issued in WA
Legal business name
SYNERGY CHIROPRACTIC LLC
Practice address
1509 Madison St
Wenatchee, WA 98801-1731
Phone
(206) 383-9164
NPI assigned
Oct 10, 2012
Last updated
Oct 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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
Chiropractor
Phone
(206) 383-9164

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
Health Service Clinic/Center 261QH0100X CH60304364 WA Primary

Addresses

Primary practice location

1509 Madison St
Wenatchee, WA 98801-1731

Mailing address

1509 Madison St
Wenatchee, WA 98801-1731
Phone (206) 383-9164

National Provider Directory

National Provider Directory

Locations

517 Grant Rd
East Wenatchee, WA 98802
Phone (206) 383-9164

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": "1349827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350259200000",
    "number": "1205188539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 MADISON ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988011731",
            "telephone_number": "206-383-9164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 MADISON ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988011731",
            "telephone_number": "206-383-9164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-10",
        "last_updated": "2012-10-15",
        "status": "A",
        "authorized_official_last_name": "COPENHAVER",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "206-383-9164",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WA",
            "license": "CH60304364",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 15, 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.