NPIMap

Organization Active NPI

Dozark Health and Wellness Inc

  • Chiropractor
  • Vancouver, WA
National Provider Identifier
1255694428
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH34345 Issued in WA
Legal business name
DOZARK HEALTH AND WELLNESS INC
Practice address
11818 SE Mill Plain Blvd
Suite 408
Vancouver, WA 98684-5089
Phone
(360) 254-0616
Fax
(360) 254-0618
NPI assigned
Jun 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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

Authorized official

Name
Dr. Jason Dozark, DCNPI 1104905165
Title
Owner/President
Phone
(360) 254-0616

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH34345 WA Primary

Addresses

Primary practice location

11818 SE Mill Plain Blvd
Suite 408
Vancouver, WA 98684-5089

Mailing address

513 SE 10TH St
Battle Ground, WA 98604-8998

National Provider Directory

National Provider Directory

Locations

11818 SE Mill Plain Blvd
Ste 408
Vancouver, WA 98684
Phone (360) 254-0616

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340236800000",
    "number": "1255694428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 SE 10TH ST",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986048998",
            "fax_number": "360-254-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11818 SE MILL PLAIN BLVD",
            "address_2": "SUITE 408",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845089",
            "telephone_number": "360-254-0616",
            "fax_number": "360-254-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOZARK HEALTH AND WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-06-21",
        "status": "A",
        "authorized_official_last_name": "DOZARK",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "360-254-0616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH34345",
            "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 Jun 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.