NPIMap

Organization Active NPI

Decamp-Lewis Chiropractic Clinic, PLLC

  • Chiropractor
  • Wenatchee, WA
National Provider Identifier
1235209479
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00001059 Issued in WA
Legal business name
DECAMP-LEWIS CHIROPRACTIC CLINIC, PLLC
Practice address
610 N Mission St Ste 102
Wenatchee, WA 98801-2065
Phone
(509) 662-4711
Fax
(509) 662-2800
NPI assigned
Nov 8, 2006
Last updated
May 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Authorized official

Name
Mrs. Maureen Renee Dexter
Title
Office Manager
Phone
(509) 662-4711

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH00001059 WA Primary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X MA00020262 WA

Addresses

Primary practice location

610 N Mission St Ste 102
Wenatchee, WA 98801-2065

Mailing address

610 N Mission St Ste 102
Wenatchee, WA 98801-2065
Phone (509) 662-4711

Other names 2

  • DeCamp-Toftness Chiropractic Clinic, LLP Former legal business name
  • Mullen-DeCamp-Toftness Chiropractic Clinic Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040305001088 WA Part B Supplier - Clinic/Group Practice 6204724842 Receives reassigned benefits from 5 practitioners
Practice locations: Wenatchee, WA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1235209479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N MISSION ST STE 102",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012065",
            "telephone_number": "509-662-4711",
            "fax_number": "509-662-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N MISSION ST STE 102",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012065",
            "telephone_number": "509-662-4711",
            "fax_number": "509-662-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECAMP-LEWIS CHIROPRACTIC CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "DEXTER",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-662-4711",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001059",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00020262",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DeCamp-Toftness Chiropractic Clinic, LLP",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Mullen-DeCamp-Toftness Chiropractic Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Mullen-DeCamp-Toftness Chiropractic Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.