Organization Active NPI

Vancouver Chiropractic Group

  • Chiropractor
  • Vancouver, WA
National Provider Identifier
1447640347
Registry record updated Jan 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
VANCOUVER CHIROPRACTIC GROUP
Practice address
16821 SE McGillivray Blvd
Suite 204
Vancouver, WA 98683-0499
Phone
(360) 433-9580
Fax
(866) 824-5107
NPI assigned
Jan 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2015

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

Authorized official

Name
Daniel Schneider, DC
Title
Owner
Phone
(925) 719-7510

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X

Addresses

Primary practice location

16821 SE McGillivray Blvd
Suite 204
Vancouver, WA 98683-0499

Mailing address

16821 SE McGillivray Blvd
Suite 204
Vancouver, WA 98683-0499
Phone (360) 433-9580

Other names 1

  • Northwest Pain Institute Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1447640347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16821 SE MCGILLIVRAY BLVD",
            "address_2": "SUITE 204",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986830499",
            "telephone_number": "360-433-9580",
            "fax_number": "866-824-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16821 SE MCGILLIVRAY BLVD",
            "address_2": "SUITE 204",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986830499",
            "telephone_number": "360-433-9580",
            "fax_number": "866-824-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANCOUVER CHIROPRACTIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-719-7510",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Pain Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 29, 2015; 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.