Individual provider Active NPI

Craig Ernest Cheple, D.C.

  • Chiropractor
  • Olympia, WA
National Provider Identifier
1366478067
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2012 Issued in WA
Practice address
400 Cooper Point Rd SW
Suite #4
Olympia, WA 98502-8705
Phone
(360) 943-2358
Fax
(360) 943-2358
NPI assigned
Jun 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2012 WA Primary

Addresses

Primary practice location

400 Cooper Point Rd SW
Suite #4
Olympia, WA 98502-8705

Mailing address

400 Cooper Point Rd SW
Suite #4
Olympia, WA 98502-8705
Phone (360) 943-2358

Other identifiers 3

IdentifierTypeStateIssuer
131546OtherWADLI
2003119MedicaidWA
CH4218OtherWABCI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070213000698 WA Practitioner - Chiropractic 1052313467 Practice locations: Olympia, WA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

400 Cooper Point Rd SW
Suite 4
Olympia, WA 98502-8706
Phone (360) 943-2358

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2012WAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1366478067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 COOPER POINT RD SW",
            "address_2": "SUITE #4",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028705",
            "telephone_number": "360-943-2358",
            "fax_number": "360-943-2358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 COOPER POINT RD SW",
            "address_2": "SUITE #4",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028705",
            "telephone_number": "360-943-2358",
            "fax_number": "360-943-2358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEPLE",
        "first_name": "CRAIG",
        "middle_name": "ERNEST",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "2012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DLI",
            "identifier": "131546",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2003119",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCI",
            "identifier": "CH4218",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.