Active NPI
Darin J. Shook, DO
- Chiropractor
- Longview, WA
National Provider Identifier
1396786125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00033964
- Practice address
- 1312 Vandercook Way
Longview, WA 98632-3902 - Phone
- (360) 425-6620
- Fax
- (360) 425-1277
- NPI assigned
- Jun 10, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00033964 | WA | Primary |
Addresses
Primary practice location
1312 Vandercook Way
Longview, WA 98632-3902
Mailing address
1312 Vandercook Way
Longview, WA 98632-3902
Phone (360) 425-6620
Other practice location 1
1312 Vandercook Way
Longview, WA 98632-3902
Phone (360) 425-6620
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Contact@myadvantagechiro.com | Direct | |
| Direct Messaging Address | contact@myadvantagechiro.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1312 Vandercook Way
Longview, WA 98632-3902
Phone (360) 425-6620
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH00033964 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Battle Ground Advantage Chiropractic PS | Chiropractor | Current | Accepting new patients |
| Advantage Chiropratic & Massage, P.S. | Chiropractor | Current | Accepting new patients |
Locations
1312 Vandercook Way
Longview, WA 98632
Phone (360) 425-6620
1424 16th Ave
Longview, WA 98632
Phone (360) 425-6620
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Longview, WA
- NPI 1750497236
-
- Chiropractor
- Battle Ground, WA
- NPI 1104507425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662422400000",
"number": "1396786125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1312 VANDERCOOK WAY",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986323902",
"telephone_number": "360-425-6620",
"fax_number": "360-425-1277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1312 VANDERCOOK WAY",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986323902",
"telephone_number": "360-425-6620",
"fax_number": "360-425-1277"
}
],
"practiceLocations": [
{
"address_1": "1312 Vandercook Way",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "WA",
"postal_code": "986323902",
"country_code": "US",
"telephone_number": "360-425-6620",
"fax_number": "360-425-6620",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHOOK",
"first_name": "DARIN",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2022-09-06",
"certification_date": "2022-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00033964",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Contact@myadvantagechiro.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1312 Vandercook Way",
"city": "Longview",
"state": "WA",
"country_code": "US",
"postal_code": "986323902",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "contact@myadvantagechiro.com",
"affiliation": "N",
"address_1": "1312 Vandercook Way",
"city": "Longview",
"state": "WA",
"country_code": "US",
"postal_code": "986323902",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Sep 6, 2022; 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.