Active NPI
Derrick William Pratt, DC
- Chiropractor
- Cashmere, WA
National Provider Identifier
1316024524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00033995
- Practice address
- 102 Cottage Ave
Cashmere, WA 98815 - Phone
- (509) 782-1312
- Fax
- (509) 782-1733
- NPI assigned
- Nov 1, 2006
- Last updated
- Jan 9, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00033995 | WA | Primary |
Addresses
Primary practice location
102 Cottage Ave
Cashmere, WA 98815
Mailing address
102 Cottage Ave
Cashmere, WA 98815
Phone (509) 782-1312
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0151155 | Other | WA | L&I |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2000
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
102 Cottage Ave
Cashmere, WA 98815-1002
Phone (509) 782-1312
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH00033995 | WA | MD | Chiropractor |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Cashmere, WA
- NPI 1205913415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199836800000",
"number": "1316024524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 COTTAGE AVE",
"city": "CASHMERE",
"state": "WA",
"postal_code": "98815",
"telephone_number": "509-782-1312",
"fax_number": "509-782-1733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 COTTAGE AVE",
"city": "CASHMERE",
"state": "WA",
"postal_code": "98815",
"telephone_number": "509-782-1312",
"fax_number": "509-782-1733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRATT",
"first_name": "DERRICK",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2008-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00033995",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "0151155",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cashmere, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.