Individual provider Active NPI

Miguel Guajardo, LMP

  • Rehabilitation Chiropractor
  • Kennewick, WA
National Provider Identifier
1265888291
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
60610321 Issued in WA
Practice address
7131 W Deschutes Ave Ste 102
Kennewick, WA 99336-7801
Phone
(509) 222-1112
Fax
(509) 222-1113
NPI assigned
May 9, 2016
Last updated
May 9, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 60610321 WA Primary

Addresses

Primary practice location

7131 W Deschutes Ave Ste 102
Kennewick, WA 99336-7801

Mailing address

7131 W Deschutes Ave Ste 102
Kennewick, WA 99336-7801
Phone (509) 222-1112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
60610321WAMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Buxbaum Family Chiropractic & Massage PastSince Mar 20, 2017 Accepting new patients

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, 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": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1265888291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7131 W DESCHUTES AVE STE 102",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367801",
            "telephone_number": "509-222-1112",
            "fax_number": "509-222-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7131 W DESCHUTES AVE STE 102",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367801",
            "telephone_number": "509-222-1112",
            "fax_number": "509-222-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUAJARDO",
        "first_name": "MIGUEL",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "WA",
            "license": "60610321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; 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.