Individual provider Active NPI

Canyon Thomas Hurst, D.C.

  • Chiropractor
  • East Wenatchee, WA
National Provider Identifier
1336665025
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60778483 Issued in WA
Practice address
1120 Grant Rd
East Wenatchee, WA 98802-5243
Phone
(509) 884-7163
Fax
(509) 884-2363
NPI assigned
Aug 15, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60778483 WA Primary

Addresses

Primary practice location

1120 Grant Rd
East Wenatchee, WA 98802-5243

Mailing address

1120 Grant Rd
East Wenatchee, WA 98802-5243
Phone (509) 884-7163

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170914004231 WA Practitioner - Chiropractic 1052685039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hurst Chiropractic PCGroup PAC ID 6507836533, 5 clinicians

Practice addresses (Care Compare)

1120 Grant Rd
East Wenatchee, WA 98802-5243
Phone (509) 884-7163

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hurst Chiropractic, P.C. Chiropractor CurrentSince Aug 7, 2017 Accepting new patients

Locations

1120 Grant Rd
East Wenatchee, WA 98802
Phone (509) 884-7163

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1336665025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 GRANT RD",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988025243",
            "telephone_number": "509-884-7163",
            "fax_number": "509-884-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 GRANT RD",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988025243",
            "telephone_number": "509-884-7163",
            "fax_number": "509-884-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURST",
        "first_name": "CANYON",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60778483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.