Active NPI
Jonathon Douglas, D.C.
- Chiropractor
- Vancouver, WA
National Provider Identifier
1346317971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00034417
- Practice address
- 16500 SE 15TH St
Suite 160
Vancouver, WA 98683-9665 - Phone
- (360) 903-0590
- NPI assigned
- Nov 29, 2006
- Last updated
- Apr 30, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00034417 | WA | Primary |
| Chiropractor | 111N00000X | 283580 | OR |
Addresses
Primary practice location
16500 SE 15TH St
Suite 160
Vancouver, WA 98683-9665
Mailing address
16500 SE 15TH St
Suite 160
Vancouver, WA 98683-9665
Phone (360) 903-0590
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 283580 | OR | MD | Chiropractor |
| CH00034417 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlas Spinal Care P C | Chiropractor | Current | Accepting new patients |
| Hearing & Communication Partners, Inc. | Past | Accepting new patients | |
| Finnigan Chiropractic Center PLLC | Chiropractor | Past | Accepting new patients |
Locations
16500 SE 15th St
Ste 160
Vancouver, WA 98683
Phone (360) 718-7944
Interoperability endpoints
- https://api.platform.athenahealth.com/13724/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
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- Lacey, WA
- NPI 1447307426
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dba Complete Hearing and Balance
- Audiologist
- Olympia, WA
- NPI 1295199735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209513600000",
"number": "1346317971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16500 SE 15TH ST",
"address_2": "SUITE 160",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986839665",
"telephone_number": "360-903-0590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16500 SE 15TH ST",
"address_2": "SUITE 160",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986839665",
"telephone_number": "360-903-0590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGLAS",
"first_name": "JONATHON",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2008-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00034417",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "283580",
"primary": false
}
],
"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 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.