NPIMap

Organization Active NPI

Cascade Park Chiropractic Clinic PLLC

  • Chiropractor
  • Vancouver, WA
National Provider Identifier
1316287972
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
002109 Issued in WA
Legal business name
CASCADE PARK CHIROPRACTIC CLINIC PLLC
Practice address
11101 NE 14TH St
108
Vancouver, WA 98684-4366
Phone
(350) 254-1232
Fax
(360) 254-5188
NPI assigned
Feb 19, 2013
Last updated
Apr 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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

Authorized official

Name
Milton Harrison Homer, DCNPI 1831443415
Title
Owner
Phone
(360) 254-1232

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 002109 WA Primary

Addresses

Primary practice location

11101 NE 14TH St
108
Vancouver, WA 98684-4366

Mailing address

11101 NE 14TH St
108
Vancouver, WA 98684-4366
Phone (350) 254-1232

National Provider Directory

National Provider Directory

Locations

11101 NE 14th St
Vancouver, WA 98684
Phone (360) 254-1232

11101 NE 14th St
#108
Vancouver, WA 98684
Phone (360) 254-1232

11101 NE 14th St
Ste 108
Vancouver, WA 98684
Phone (360) 254-1232

312 SE Stonemill Dr
Ste 140
Vancouver, WA 98684
Phone (360) 254-1232

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1316287972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11101 NE 14TH ST",
            "address_2": "108",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986844366",
            "telephone_number": "350-254-1232",
            "fax_number": "360-254-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11101 NE 14TH ST",
            "address_2": "108",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986844366",
            "telephone_number": "350-254-1232",
            "fax_number": "360-254-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE PARK CHIROPRACTIC CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-19",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "HOMER",
        "authorized_official_first_name": "MILTON",
        "authorized_official_middle_name": "HARRISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-254-1232",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "002109",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 20, 2016; 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.