Dabalos Chiropractic Clinic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00001298 Issued in WA

Legal business name

DABALOS CHIROPRACTIC CLINIC, LLC

Practice address

830 E Broadway Ave
Moses Lake, WA 98837-5932

Phone

(509) 766-9966

Fax

(509) 766-0083

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Rodolfo A Dabalos, D.C.

Title

Doctor of Chiropractic

Phone

(509) 766-9966

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407975337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 E. BROADWAY",
            "address_2": "PO BOX 1637",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988370255",
            "telephone_number": "509-766-9966",
            "fax_number": "509-766-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 E BROADWAY AVE",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988375932",
            "telephone_number": "509-766-9966",
            "fax_number": "509-766-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DABALOS CHIROPRACTIC CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DABALOS",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "509-766-9966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2029502",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Cumaravel
• David L Curnel, MD
• Decorah Curren, BS
• Amanda Danielle Cutrell
• D & R Thomas Incorp
• Donna G. Dabney, PA
• Amber D Dacy, ARNP
• Steven Dahl, PHARM
• Clark Golden Dalton, MHS, CCC-SLP
• Mark Danforth, OMD, LAC

• Chiropractor in Moses Lake, WA
• Providers in Moses Lake, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.