Centralia Chiropractic, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00002444 Issued in WA

Legal business name

CENTRALIA CHIROPRACTIC, INC

Doing business as

Centralia Chiropractic Center

Practice address

120 W Magnolia St
Centralia, WA 98531-4316

Phone

(360) 736-9906

Fax

(360) 736-9906

NPI assigned

Mar 13, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brenda M Viznaugh, DC

Title

Owner

Phone

(360) 736-9906

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Centralia Chiropractic Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephany Luray Emerson, LMP

  • Specialist
  • Onalaska, WA
  • NPI 1619001625
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306979026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W MAGNOLIA ST",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985314316",
            "telephone_number": "360-736-9906",
            "fax_number": "360-736-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W MAGNOLIA ST",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985314316",
            "telephone_number": "360-736-9906",
            "fax_number": "360-736-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRALIA CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VIZNAUGH",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-736-9906",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002444",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002580",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "67552",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centralia Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Logan Alexander Cathro, PHARMD
• Donna Shirley Cawley, RDH
• Danielle Lynn Caywood, LMP
• Cedars Home Care LLC Dba Cedars Homecare of Wa
• Cedars Psychology Services, LLC
• Centralia Pharmacy Group, Inc. (Centralia Pharmacy)
• Centralia Pharmacy Group, Inc.
• Centralia Physical Therapy Inc PS (Castle Rock Physical Therapy)
• Centralia School District #401
• Iftikhar Ali CH, M.D

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.