Richard Dean Clemens, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHOOOO3175 Issued in WA

Practice address

Absolute Chiropractic
312 Gardner Rd.
Burlington, WA 98233-1531

Phone

(360) 757-7463

Fax

(360) 757-7171

NPI assigned

Apr 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Absolute Chiropractic Inc

  • Chiropractor
  • Burlington, WA
  • NPI 1265668628
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233619200000",
    "number": "1285850545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 GARDNER RD",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982331531",
            "telephone_number": "360-757-6117",
            "fax_number": "360-757-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ABSOLUTE CHIROPRACTIC",
            "address_2": "312 GARDNER RD.",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982331531",
            "telephone_number": "360-757-7463",
            "fax_number": "360-757-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENS",
        "first_name": "RICHARD",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2009-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CHOOOO3175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "145489",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "4824CL",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Inga Chinell, LMP
• City of Burlington
• Sarah Clark
• Tracy Ann Clayton, CG70010924
• Linda Lu Clemens, D.C.
• Coastal Administrative Services, Inc.
• Robin Coe, CDPT
• Anne Cohen, M.A., LMHC
• Ronald Glenn Colyer Jr., L.M.P.
• Casey William Cook, LMP

• Chiropractor in Burlington, WA
• Providers in Burlington, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; 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.