Individual provider Active NPI

Arash Fatemi, DC

  • Chiropractor
  • Vancouver, WA
National Provider Identifier
1386146140
Registry record updated Mar 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
60824553 Issued in WA
Practice address
5514 NE 107TH Ave Ste 101
Vancouver, WA 98662-6346
Phone
(360) 513-6136
NPI assigned
Mar 7, 2018
Last updated
Mar 7, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 60824553 WA Primary

Addresses

Primary practice location

5514 NE 107TH Ave Ste 101
Vancouver, WA 98662-6346

Mailing address

5514 NE 107TH Ave Ste 101
Vancouver, WA 98662-6346
Phone (360) 513-6136

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250325002726 WA Practitioner - Chiropractic 2163945643 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60824553WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Free Chiropractic Chiropractor Current Accepting new patients
Mobile Chiropractic North West , Inc. Chiropractor Current Accepting new patients
Eastlake Chiropractic Center P S CurrentSince Feb 1, 2025 Accepting new patients
Chiropractic and Massage Near Me Chiropractor CurrentSince Aug 1, 2025 Accepting new patients
Brie Chani Henderson Chiropractor PastSince Apr 16, 2018 Accepting new patients

Locations

2946 Eastlake Ave E
Seattle, WA 98102
Phone (206) 324-8600

4201 NE 66th Ave
Ste 102
Vancouver, WA 98661
Phone (360) 798-4543

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520380800000",
    "number": "1386146140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5514 NE 107TH AVE STE 101",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626346",
            "telephone_number": "360-513-6136",
            "fax_number": "360-254-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5514 NE 107TH AVE STE 101",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626346",
            "telephone_number": "360-513-6136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATEMI",
        "first_name": "ARASH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "60824553",
            "primary": true
        }
    ],
    "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 Mar 7, 2018; 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.