Active NPI
Frank J Door, DC
- Chiropractor
- Puyallup, WA
National Provider Identifier
1356499909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH0002740
- Practice address
- 2401 S Meridian
Puyallup, WA 98373-1553 - Phone
- (253) 841-6482
- Fax
- (253) 864-0148
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH0002740 | WA | Primary |
Addresses
Primary practice location
2401 S Meridian
Puyallup, WA 98373-1553
Mailing address
2401 S Meridian
Puyallup, WA 98373-1553
Phone (253) 841-6482
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43965 | Other | WA | LABOR & INDUSTRIES |
| DO6214 | Other | WA | REGENCE BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110119000727 | WA | Practitioner - Chiropractic | 2365621604 | Practice locations: Puyallup, WA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2401 S Meridian
Puyallup, WA 98373-1553
Phone (253) 841-6482
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH0002740 | WA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356499909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 S MERIDIAN",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983731553",
"telephone_number": "253-841-6482",
"fax_number": "253-864-0148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 S MERIDIAN",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983731553",
"telephone_number": "253-841-6482",
"fax_number": "253-864-0148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOOR",
"first_name": "FRANK",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH0002740",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "43965",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "DO6214",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Puyallup, WA
Sources for this page
- 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.