Organization Active NPI

Dohrmann Family Chiropractic, Inc., PS

  • Chiropractor
  • Aberdeen, WA
National Provider Identifier
1306084579
Registry record updated Jan 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034478 Issued in WA
Legal business name
DOHRMANN FAMILY CHIROPRACTIC, INC., PS
Practice address
2321 Simpson Ave
Aberdeen, WA 98520-3515
Phone
(360) 532-3200
Fax
(360) 532-5400
NPI assigned
Jan 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2009

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

Authorized official

Name
Cyrus Dohrmann, D.CNPI 1891826913
Title
Doctor of Chiropractic
Phone
(360) 532-3200

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00034478 WA Primary

Addresses

Primary practice location

2321 Simpson Ave
Aberdeen, WA 98520-3515

Mailing address

14 S Sunrise Dr
Montesano, WA 98563-9652
Phone (360) 532-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090204000620 WA Part B Supplier - Clinic/Group Practice 5698839785 Receives reassigned benefits from 1 practitioner
Practice locations: Aberdeen, WA

National Provider Directory

National Provider Directory

Locations

2321 Simpson Ave
Aberdeen, WA 98520
Phone (360) 532-3200

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233014400000",
    "number": "1306084579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 S SUNRISE DR",
            "city": "MONTESANO",
            "state": "WA",
            "postal_code": "985639652",
            "telephone_number": "360-532-3200",
            "fax_number": "360-532-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 SIMPSON AVE",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985203515",
            "telephone_number": "360-532-3200",
            "fax_number": "360-532-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOHRMANN FAMILY CHIROPRACTIC, INC., PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-27",
        "last_updated": "2009-01-27",
        "status": "A",
        "authorized_official_last_name": "DOHRMANN",
        "authorized_official_first_name": "CYRUS",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "360-532-3200",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; 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.