NPIMap

Individual provider Active NPI

Thomas Earl Kessinger, D.C.

  • Chiropractor
  • Vancouver, WA
National Provider Identifier
1255598918
Registry record updated Feb 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60161096 Issued in WA
Practice address
16821 SE McGillivray Blvd
Suite 204
Vancouver, WA 98683-0499
Phone
(360) 433-9580
Fax
(866) 824-5107
NPI assigned
May 20, 2008
Last updated
Feb 4, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60161096 WA Primary

Addresses

Primary practice location

16821 SE McGillivray Blvd
Suite 204
Vancouver, WA 98683-0499

Mailing address

4254 X St
Washougal, WA 98671-7470
Phone (360) 241-0405

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101214000560 WA Practitioner - Chiropractic 8123190196 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic and Massage Near Me Chiropractor CurrentSince Aug 15, 2024 Accepting new patients
Front Range Medical Center Inc. Chiropractor PastSince Jan 26, 2013 Accepting new patients
Anderson Life Chiropractic P.C. Chiropractor Past Accepting new patients
Zephyr Chiropractic Chiropractor Past Accepting new patients

Locations

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

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1255598918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4254 X ST",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986717470",
            "telephone_number": "360-241-0405",
            "fax_number": "866-824-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16821 SE MCGILLIVRAY BLVD",
            "address_2": "SUITE 204",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986830499",
            "telephone_number": "360-433-9580",
            "fax_number": "866-824-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESSINGER",
        "first_name": "THOMAS",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-20",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60161096",
            "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 Feb 4, 2015; 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.