Organization Active NPI

Columbia Family Chiropractic PS

  • Chiropractor
  • Camas, WA
National Provider Identifier
1457567398
Registry record updated Feb 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034300 Issued in WA
Legal business name
COLUMBIA FAMILY CHIROPRACTIC PS
Practice address
331 NE Lechner St
Camas, WA 98607-2445
Phone
(360) 835-3527
Fax
(360) 835-3528
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2013

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

Authorized official

Name
Danielle Christina Dearey, D.C.NPI 1063552065
Title
Owner
Phone
(360) 835-3527

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00034300 WA Primary

Addresses

Primary practice location

331 NE Lechner St
Camas, WA 98607-2445

Mailing address

331 NE Lechner St
Camas, WA 98607-2445
Phone (360) 835-3527

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040108000812 WA Part B Supplier - Clinic/Group Practice 0244139103 Receives reassigned benefits from 1 practitioner
Practice locations: Camas, WA

National Provider Directory

National Provider Directory

Locations

331 NE Lechner St
Camas, WA 98607
Phone (360) 513-7281

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360800000000",
    "number": "1457567398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 NE LECHNER ST",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986072445",
            "telephone_number": "360-835-3527",
            "fax_number": "360-835-3528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 NE LECHNER ST",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986072445",
            "telephone_number": "360-835-3527",
            "fax_number": "360-835-3528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA FAMILY CHIROPRACTIC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2013-02-14",
        "status": "A",
        "authorized_official_last_name": "DEAREY",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "CHRISTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-835-3527",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camas, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; 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.