NPIMap

Organization Active NPI

Canyon Chiropractic LLC

Doing business as Canyon Chiropractic and Massage Therapy

  • Health Service Clinic/Center
  • Kennewick, WA
National Provider Identifier
1417268640
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
CH00034828 Issued in WA
Legal business name
CANYON CHIROPRACTIC LLC
Doing business as
Canyon Chiropractic and Massage Therapy
Practice address
4303 W 27TH Ave Ste E
Kennewick, WA 99338-1986
Phone
(509) 834-8960
NPI assigned
Jun 22, 2010
Last updated
Jun 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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

Authorized official

Name
Dr. Brandon Paul Campbell, D.C.NPI 1821211640
Title
Doctor of Chiropractic
Phone
(509) 834-8960

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X CH00034828 WA Primary

Addresses

Primary practice location

4303 W 27TH Ave Ste E
Kennewick, WA 99338-1986

Mailing address

4303 W 27TH Ave Ste E
Kennewick, WA 99338-1986
Phone (509) 834-8960

Other names 1

  • Canyon Chiropractic and Massage Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120725001053 WA Part B Supplier - Clinic/Group Practice 2466618038 Receives reassigned benefits from 1 practitioner
Practice locations: Kennewick, WA

National Provider Directory

National Provider Directory

Locations

4303 W 27th Ave
Ste E
Kennewick, WA 99338
Phone (509) 783-0834

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277164800000",
    "number": "1417268640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4303 W 27TH AVE STE E",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993381986",
            "telephone_number": "509-834-8960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4303 W 27TH AVE STE E",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993381986",
            "telephone_number": "509-834-8960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-22",
        "last_updated": "2010-06-22",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "509-834-8960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WA",
            "license": "CH00034828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canyon Chiropractic and Massage Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; 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.