Deatherage Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DEATHERAGE CHIROPRACTIC PLLC

Practice address

3713 Rucker Ave
Everett, WA 98201-4632

Phone

(425) 258-1300

NPI assigned

Oct 8, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Nolan Deatherage, DCNPI 1144467119

Title

Owner

Phone

(425) 258-1300

Specialties & licenses 1

Addresses

Other names 1

• Align Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 3

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

• Nolan Deatherage, DC

  • Chiropractor
  • Auburn, WA
  • NPI 1144467119
  Medicare reassignment NPD Authorized official
• Penelope Anne Carpenter, DC

  • Chiropractor
  • Everett, WA
  • NPI 1679587315
  NPD (past)
• Brandon Douglas Decamp, DC

  • Chiropractor
  • Wenatchee, WA
  • NPI 1760751051
  NPD (past)

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633651200000",
    "number": "1295497014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3713 RUCKER AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014632",
            "telephone_number": "425-258-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3713 RUCKER AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014632",
            "telephone_number": "425-258-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEATHERAGE CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-08",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A",
        "authorized_official_last_name": "DEATHERAGE",
        "authorized_official_first_name": "NOLAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-258-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Align Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melinda J Deane, MELINDA DEANE LMP
• Brooklynn Deangelis
• Sarah Phinney Dearman, M.S., CCC-SLP
• Alexandria Deas
• Jeremy Ross Deater
• Rebecca Anne Debar II
• Thomas Leon Debauche, MD
• Debbie Bayer L.M.F.T.P.L.L.C
• Zachary Morris Deboard, MD
• Taylor Deboer, DNP, APRN, WHNP-BC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.