NPIMap

Organization Active NPI

Haslam Chiropractic PLLC

Doing business as Chewelah Family Chiropractic

  • Clinic/Center
  • Chewelah, WA
National Provider Identifier
1275999740
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
CH-60404828 Issued in WA
Legal business name
HASLAM CHIROPRACTIC PLLC
Doing business as
Chewelah Family Chiropractic
Practice address
301 E Clay Ave Ste 219
Chewelah, WA 99109-8936
Phone
(509) 936-6822
Fax
(509) 936-4885
NPI assigned
Jan 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Bradley David Haslam, D.C.NPI 1861827503
Title
Owner/Doctor
Phone
(509) 935-6822

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
Clinic/Center 261Q00000X CH-60404828 WA Primary

Addresses

Primary practice location

301 E Clay Ave Ste 219
Chewelah, WA 99109-8936

Mailing address

PO Box 1133
301 E. Clay Ave Suite 219
Chewelah, WA 99109-1133
Phone (509) 935-6822

Other names 1

  • Chewelah Family Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170915003335 WA Part B Supplier - Clinic/Group Practice 5092089946 Receives reassigned benefits from 1 practitioner
Practice locations: Chewelah, WA

National Provider Directory

National Provider Directory
Tax ID family
Chewelah Family Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

301 E Clay Ave
Ste 219
Chewelah, WA 99109
Phone (509) 935-6822

201 E Main Ave
Chewelah, WA 99109
Phone (509) 935-6784

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1275999740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1133",
            "address_2": "301 E. CLAY AVE SUITE 219",
            "city": "CHEWELAH",
            "state": "WA",
            "postal_code": "991091133",
            "telephone_number": "509-935-6822",
            "fax_number": "509-935-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E CLAY AVE STE 219",
            "city": "CHEWELAH",
            "state": "WA",
            "postal_code": "991098936",
            "telephone_number": "509-936-6822",
            "fax_number": "509-936-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HASLAM CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HASLAM",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "509-935-6822",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "CH-60404828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chewelah Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chewelah Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chewelah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.