Taylor Denton Lewis Haak, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH61062221 Issued in WA

Practice address

6307 NE 117TH Ave Ste C
Vancouver, WA 98662-5500

Phone

(360) 253-4285

Fax

(360) 253-9469

NPI assigned

Nov 7, 2020

Last updated

Aug 2, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Back to Health Chiropractic Clinic PCGroup PAC ID 2769475557, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Back to Health Chiropractic Clinic, P.C.

  • Chiropractor
  • Vancouver, WA
  • NPI 1841406469
  Medicare reassignment Care Compare group NPD
• Haak Chiropractic LLC

  • Chiropractor
  • Boulder, CO
  • NPI 1811508369
  NPD Authorized official

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

{
    "created_epoch": "1604707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1205437977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16903 NE 20TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6307 NE 117TH AVE STE C",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986625500",
            "telephone_number": "360-253-4285",
            "fax_number": "360-253-9469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6666 Gunpark Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803013396",
            "country_code": "US",
            "telephone_number": "720-738-9646",
            "fax_number": "720-738-9646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16903 NE 20th St",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986846766",
            "country_code": "US",
            "telephone_number": "913-638-0213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAAK",
        "first_name": "TAYLOR",
        "middle_name": "DENTON LEWIS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-07",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61062221",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0008181",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF COLORADO",
            "identifier": "CHR.0008181",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WASHINGTON",
            "identifier": "CH61062221",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• H&S Northwest LLC (Hand & Stone Massage and Facial Spa)
• Allen Ha, PHARM D
• Bruce Allan Haack, OTD
• Lisa Marie Haacker, PHARMACY TECHNIEIAN
• Hugh B Haagen, MSW
• Michelle Ann Haase
• Joseph Jeffrey Haberman, MD
• Pascal Thuram Habiyaremye, APRN
• Amanda Hack, PHARMD
• Christina Hack

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.