Active NPI
Keith Castilloux, D.C.
- Chiropractor
- Battle Ground, WA
National Provider Identifier
1285764092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00034642
- Practice address
- 14 NE Grace Avenue
Battle Ground, WA 98604 - Phone
- (360) 687-5163
- NPI assigned
- Mar 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIRO002378 | GA | |
| Chiropractor | 111N00000X | DC 418 | HI | |
| Chiropractor | 111N00000X | CH00034642 | WA | Primary |
Addresses
Primary practice location
14 NE Grace Avenue
Battle Ground, WA 98604
Mailing address
9431 NE Tenny Creek Dr
Vancouver, WA 98665-9176
Phone (360) 225-1363
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091223000102 | WA | Practitioner - Chiropractic | 1951441914 | Practice locations: Vancouver, WA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIRO002378 | GA | MD | Chiropractor |
| DC 418 | HI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Contemporary Chiropractic PS | Chiropractor | Past | Accepting new patients |
| Nu-Life Sportsmedicine and Health Care Center PLLC | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Vancouver, WA
- NPI 1033341128
-
- Chiropractor
- Battle Ground, WA
- NPI 1720106255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348704000000",
"number": "1285764092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9431 NE TENNY CREEK DR",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986659176",
"telephone_number": "360-225-1363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 NE GRACE AVENUE",
"city": "BATTLE GROUND",
"state": "WA",
"postal_code": "98604",
"telephone_number": "360-687-5163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLOUX",
"first_name": "KEITH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-07",
"last_updated": "2012-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIRO002378",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "HI",
"license": "DC 418",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00034642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Battle Ground, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.