Individual provider Active NPI

Craig Patrick Lapenski, D.C.

  • Chiropractor
  • Graham, WA
National Provider Identifier
1295876894
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00003689 Issued in WA
Practice address
21806 103Rd Avenue CT E
Suite 101
Graham, WA 98338-8115
Phone
(253) 445-8181
Fax
(253) 445-7938
NPI assigned
Feb 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00003689 WA Primary

Addresses

Primary practice location

21806 103Rd Avenue CT E
Suite 101
Graham, WA 98338-8115

Mailing address

21806 103Rd Avenue CT E
Suite 101
Graham, WA 98338-8115
Phone (253) 445-8181

Other identifiers 1

IdentifierTypeStateIssuer
0158673OtherWALABOR & INDUSTRIES

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
CH00003689WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Spinal Care, Inc Chiropractor Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295876894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21806 103RD AVENUE CT E",
            "address_2": "SUITE 101",
            "city": "GRAHAM",
            "state": "WA",
            "postal_code": "983388115",
            "telephone_number": "253-445-8181",
            "fax_number": "253-445-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21806 103RD AVENUE CT E",
            "address_2": "SUITE 101",
            "city": "GRAHAM",
            "state": "WA",
            "postal_code": "983388115",
            "telephone_number": "253-445-8181",
            "fax_number": "253-445-7938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAPENSKI",
        "first_name": "CRAIG",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0158673",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Graham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.