Individual provider Active NPI

Elijah Champagne, DC

  • Chiropractor
  • Lacey, WA
National Provider Identifier
1245038041
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH61648976 Issued in WA
Practice address
8650 Martin Way E Ste 207
Lacey, WA 98516-6610
Phone
(360) 951-4504
NPI assigned
Mar 6, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH61648976 WA Primary

Addresses

Primary practice location

8650 Martin Way E Ste 207
Lacey, WA 98516-6610

Mailing address

8650 Martin Way E Ste 207
Lacey, WA 98516-6610

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250505000698 WA Practitioner - Chiropractic 8022535087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David M Warwick DC PLLCGroup PAC ID 7810210234, 3 clinicians

Practice addresses (Care Compare)

8650 Martin Way E
Suite 207
Lacey, WA 98516-6610
Phone (360) 951-4504

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH61648976WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
David M. Warwick DC PLLC Chiropractor CurrentSince Mar 1, 2025 Accepting new patients

Locations

8650 Martin Way E
Ste 207
Lacey, WA 98516
Phone (360) 951-4504

Organizations & group practices 1

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": "1741219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1245038041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8650 MARTIN WAY E STE 207",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985166610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8650 MARTIN WAY E STE 207",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985166610",
            "telephone_number": "360-951-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPAGNE",
        "first_name": "ELIJAH",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-06",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61648976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.