NPIMap

Organization Active NPI

Riverwoods Chiropractic & Massage, PLLC

  • Chiropractor
  • Longview, WA
National Provider Identifier
1346517570
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00033950 Issued in WA
Legal business name
RIVERWOODS CHIROPRACTIC & MASSAGE, PLLC
Practice address
820 Ocean Beach Hwy
Suite 116
Longview, WA 98632-4080
Phone
(360) 414-3220
Fax
(360) 353-5350
NPI assigned
Nov 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Authorized official

Name
Dr. Harold E West, D.CNPI 1619910999
Title
Owner/Sole Member
Phone
(360) 414-3220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH00033950 WA Primary

Addresses

Primary practice location

820 Ocean Beach Hwy
Suite 116
Longview, WA 98632-4080

Mailing address

820 Ocean Beach Hwy
Suite 116
Longview, WA 98632-4080
Phone (360) 414-3220

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130412000318 WA Part B Supplier - Clinic/Group Practice 8820234016 Receives reassigned benefits from 3 practitioners
Practice locations: Longview, WA

National Provider Directory

National Provider Directory

Locations

820 Ocean Beach Hwy
Ste 11
Longview, WA 98632

820 Ocean Beach Hwy
Ste 116
Longview, WA 98632
Phone (360) 200-3255

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1346517570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 OCEAN BEACH HWY",
            "address_2": "SUITE 116",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324080",
            "telephone_number": "360-414-3220",
            "fax_number": "360-353-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 OCEAN BEACH HWY",
            "address_2": "SUITE 116",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324080",
            "telephone_number": "360-414-3220",
            "fax_number": "360-353-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERWOODS CHIROPRACTIC & MASSAGE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/SOLE MEMBER",
        "authorized_official_telephone_number": "360-414-3220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00033950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.

Verify at the official NPI Registry.