Individual provider Active NPI

Pete L Blanksma, D.C.

  • Chiropractor
  • Wenatchee, WA
National Provider Identifier
1245388792
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002698 Issued in WA
Practice address
320 N Chelan Ave
Wenatchee, WA 98801-2107
Phone
(509) 663-5244
Fax
(509) 664-6508
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00002698 WA Primary

Addresses

Primary practice location

320 N Chelan Ave
Wenatchee, WA 98801-2107

Mailing address

320 N Chelan Ave
Wenatchee, WA 98801-2107
Phone (509) 663-5244

Other identifiers 9

IdentifierTypeStateIssuer
0005045375OtherWAAETNA
0199687OtherWADEPT. OF L & I
2014058OtherWADSHS
446833OtherWASTERLING LIFE INS
2014058MedicaidWA
911678119 BL1169OtherWAASURIS NORTHWEST
145724145724OtherWALIFEWISE
9978301OtherWACIGNA
145724145724OtherWAPREMERA BLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120327000780 WA Practitioner - Chiropractic 1759541832 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Wenatchee, WA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alpine Chiropractic and Decompression LLCGroup PAC ID 5294128278, 3 clinicians

Practice addresses (Care Compare)

320 N Chelan Ave
Wenatchee, WA 98801-2107
Phone (509) 663-5244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blanksma Chiropractic Clinic CurrentSince Jun 25, 1992 Accepting new patients
Alpine Chiropractic and Decompression LLC Chiropractor CurrentSince Jan 1, 2026 Accepting new patients

Locations

1011 N Alder St
Ellensburg, WA 98926
Phone (509) 929-0990

320 N Chelan Ave
Wenatchee, WA 98801
Phone (509) 663-5244

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245388792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 N CHELAN AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012107",
            "telephone_number": "509-663-5244",
            "fax_number": "509-664-6508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N CHELAN AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012107",
            "telephone_number": "509-663-5244",
            "fax_number": "509-664-6508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANKSMA",
        "first_name": "PETE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0005045375",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF L & I",
            "identifier": "0199687",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSHS",
            "identifier": "2014058",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STERLING LIFE INS",
            "identifier": "446833",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2014058",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASURIS NORTHWEST",
            "identifier": "911678119 BL1169",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIFEWISE",
            "identifier": "145724145724",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9978301",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMERA BLUE CROSS",
            "identifier": "145724145724",
            "state": "WA"
        }
    ],
    "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 Jul 8, 2007; 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.