John W. Emde, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2678 Issued in WA

Practice address

2017 Continental PL
Suite 1
Mount Vernon, WA 98273-5649

Phone

(360) 424-3900

Fax

(360) 424-3900

NPI assigned

Nov 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Emde Chiropractic PS

  • Chiropractor
  • Mount Vernon, WA
  • NPI 1619247293
  Medicare reassignment NPD Authorized official
• MV Family Chiropractic Center PLLC

  • Chiropractor
  • Mount Vernon, WA
  • NPI 1962572412
  NPD (past)

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457427254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17400 LITTLE MOUNTAIN PLACE",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "98274",
            "telephone_number": "360-422-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 CONTINENTAL PL",
            "address_2": "SUITE 1",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982735649",
            "telephone_number": "360-424-3900",
            "fax_number": "360-424-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMDE",
        "first_name": "JOHN",
        "middle_name": "W.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "2678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "EM8970",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "2687",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "91-1575469",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSRIES",
            "identifier": "34896",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBI #",
            "identifier": "601 428 238 001 0002",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Elliott, ARNP
• Jessica Ellis, LMFT
• Scott Michael Ely, PA-C
• Emde Chiropractic PS
• Deborah Emde, LMP
• Curran James Emeruwa, MD
• Lynette Marie Emery, MD
• Kimberly Emmick, RDN, LDN
• Alyssa Marie Enghauser, PA-C
• Shea Bradley English, SUDPT

• Chiropractor in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.