Clinton W Vanfleet Jr., DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00002253 Issued in WA

Practice address

1060 Hudson
Longview, WA 98632

Phone

(360) 423-2037

Fax

(360) 423-9320

NPI assigned

Nov 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Los Angeles College of Chiropractic, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Van Fleet Chiropractic PSGroup PAC ID 9335437250, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Van Fleet Chiropractic PS

  • Chiropractor
  • Longview, WA
  • NPI 1619274081
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316026537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 HUDSON",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "98632",
            "telephone_number": "360-423-2037",
            "fax_number": "360-423-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 HUDSON",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "98632",
            "telephone_number": "360-423-2037",
            "fax_number": "360-423-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANFLEET",
        "first_name": "CLINTON",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "0004892",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSHS",
            "identifier": "2007250",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yarely Valencia-Aguila, R-AAC, BS
• Van Fleet Chiropractic PS
• Vancuver ENT and ENT Opf NW, PLLC
• Ma Theresa L. Vanden Berg, M.D.
• Weston M Vandenhazel
• Vickie Vanfossen
• Paiton Vargas
• Veronica Eldora Vargas, LPN
• Aaron C Varney, OT
• Elizabeth Verbrugge, PHARMD

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

• 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.
• 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.

Verify at the official NPI Registry.