NPIMap

Organization Active NPI

Tony Garent Chiropractic Clinic P.L.L.C.

  • Chiropractor
  • Selah, WA
National Provider Identifier
1477570489
Registry record updated Aug 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00033953 Issued in WA
Legal business name
TONY GARENT CHIROPRACTIC CLINIC P.L.L.C.
Practice address
9 E 1St Ave Ste 1
Selah, WA 98942-1400
Phone
(509) 697-4838
Fax
(509) 697-6132
NPI assigned
Jul 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2010

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

Authorized official

Name
Tony Garent, D.C.NPI 1184641185
Title
Owner/Manager
Phone
(509) 697-4838

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 CH00033953 WA Primary

Addresses

Primary practice location

9 E 1St Ave Ste 1
Selah, WA 98942-1400

Mailing address

9 E 1St Ave Ste 1
Selah, WA 98942-1400
Phone (509) 697-4838

Other identifiers 2

IdentifierTypeStateIssuer
1184641185OtherWANPI
2024636MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110105001239 WA Part B Supplier - Clinic/Group Practice 8123217296 Receives reassigned benefits from 2 practitioners
Practice locations: Selah, WA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281571200000",
    "number": "1477570489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 E 1ST AVE STE 1",
            "city": "SELAH",
            "state": "WA",
            "postal_code": "989421400",
            "telephone_number": "509-697-4838",
            "fax_number": "509-697-6132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 E 1ST AVE STE 1",
            "city": "SELAH",
            "state": "WA",
            "postal_code": "989421400",
            "telephone_number": "509-697-4838",
            "fax_number": "509-697-6132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONY GARENT CHIROPRACTIC CLINIC P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2010-08-12",
        "status": "A",
        "authorized_official_last_name": "GARENT",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "509-697-4838",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00033953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1184641185",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2024636",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Selah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.