Active NPI
Cascadia Health Care, P.C.
- Chiropractor
- Vancouver, WA
National Provider Identifier
1295938173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00001783
- Legal business name
- CASCADIA HEALTH CARE, P.C.
- Practice address
- 4916 NE St Johns Rd
Vancouver, WA 98661-2547 - Phone
- (360) 694-4811
- Fax
- (360) 993-0423
- NPI assigned
- Jun 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael D. Craig, D.C.
- Title
- President
- Phone
- (360) 694-4811
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00001783 | WA | Primary |
Addresses
Primary practice location
4916 NE St Johns Rd
Vancouver, WA 98661-2547
Mailing address
4916 NE St Johns Rd
Vancouver, WA 98661-2547
Phone (360) 694-4811
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0048060 | Other | WA | DEPT. LABOR & INDUSTRIES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4916 NE St Johns Rd
Vancouver, WA 98661
Phone (360) 694-4811
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Vancouver, WA
- NPI 1770683534
-
- Chiropractor
- Vancouver, WA
- NPI 1700986551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1334188800000",
"number": "1295938173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4916 NE ST JOHNS RD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986612547",
"telephone_number": "360-694-4811",
"fax_number": "360-993-0423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4916 NE ST JOHNS RD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986612547",
"telephone_number": "360-694-4811",
"fax_number": "360-993-0423"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CASCADIA HEALTH CARE, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-07",
"last_updated": "2012-04-12",
"status": "A",
"authorized_official_last_name": "CRAIG",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "360-694-4811",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00001783",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT. LABOR & INDUSTRIES",
"identifier": "0048060",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.