Individual provider Active NPI

Nikolay Nikolaevich Chernukhin Jr., D.C.

  • Chiropractor
  • Vancouver, WA
National Provider Identifier
1235550856
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60421741 Issued in WA
Practice address
4201 NE 66TH Ave Ste 102
Vancouver, WA 98661-3078
Phone
(360) 798-4543
Fax
(360) 314-4797
NPI assigned
Dec 27, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60421741 WA Primary

Addresses

Primary practice location

4201 NE 66TH Ave Ste 102
Vancouver, WA 98661-3078

Mailing address

4201 NE 66TH Ave Ste 102
Vancouver, WA 98661-3078
Phone (360) 798-4543

Other practice location 1

689 NW Burnside Rd Ste 3
Gresham, OR 97030-3739
Phone (360) 798-4543

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200916002024 WA Practitioner - Chiropractic 6709200470 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4201 NE 66TH Ave
Suite 102
Vancouver, WA 98661-3078
Phone (360) 798-4543

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic and Massage Near Me Chiropractor CurrentSince Sep 15, 2022 Accepting new patients
Gehm Chiropractic Services CurrentSince Sep 1, 2022 Accepting new patients

Locations

689 NW Burnside Rd
Ste 3
Gresham, OR 97030
Phone (360) 798-4543

4201 NE 66th Ave
Ste 102
Vancouver, WA 98661
Phone (360) 798-4543

601 E 22nd St
Vancouver, WA 98663
Phone (360) 513-0575

6808 NE Fourth Plain Blvd
Ste H
Vancouver, WA 98661
Phone (360) 798-4543

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1388102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1235550856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 NE 66TH AVE STE 102",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986613078",
            "telephone_number": "360-798-4543",
            "fax_number": "360-314-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 NE 66TH AVE STE 102",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986613078",
            "telephone_number": "360-798-4543",
            "fax_number": "360-314-4797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "689 NW Burnside Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "970303739",
            "country_code": "US",
            "telephone_number": "360-798-4543",
            "fax_number": "360-314-4797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHERNUKHIN",
        "first_name": "NIKOLAY",
        "middle_name": "NIKOLAEVICH",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-27",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60421741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.