Active NPI
Jonathon Christopher Via, DC
- Chiropractor
- Pullman, WA
National Provider Identifier
1407156987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 60181071
- Practice address
- 755 S Grand Ave Apt 3
Pullman, WA 99163-2161 - Phone
- (509) 432-4263
- NPI assigned
- Oct 29, 2010
- 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 | 60181071 | WA | Primary |
Addresses
Primary practice location
755 S Grand Ave Apt 3
Pullman, WA 99163-2161
Mailing address
755 S Grand Ave Apt 3
Pullman, WA 99163-2161
Phone (509) 432-4263
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110215000237 | WA | Practitioner - Chiropractic | 5799965380 | Practice locations: Pullman, WA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
240 NE Kamiaken St
Pullman, WA 99163-5844
Phone (509) 432-4263
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60181071 | WA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288310400000",
"number": "1407156987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "755 S GRAND AVE APT 3",
"city": "PULLMAN",
"state": "WA",
"postal_code": "991632161",
"telephone_number": "509-432-4263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 S GRAND AVE APT 3",
"city": "PULLMAN",
"state": "WA",
"postal_code": "991632161",
"telephone_number": "509-432-4263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIA",
"first_name": "JONATHON",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-29",
"last_updated": "2010-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "60181071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pullman, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; 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.