Individual provider Active NPI

Jeffrey Wayne Strappazon, DC

  • Chiropractor
  • Battle Ground, WA
National Provider Identifier
1477611457
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002552 Issued in WA
Practice address
1908 NW 1St Way Ste 113
Battle Ground, WA 98604-4560
Phone
(360) 687-3181
Fax
(360) 687-1992
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00002552 WA Primary

Addresses

Primary practice location

1908 NW 1St Way Ste 113
Battle Ground, WA 98604-4560

Mailing address

1908 NW 1St Way
Ste 113
Battle Ground, WA 98604-4560
Phone (360) 687-3181

Other identifiers 2

IdentifierTypeStateIssuer
2120589MedicaidWA
76935OtherWADEPARTMENT OF LABOR & IND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Battle Ground Chiropractic, PS Chiropractor CurrentSince Mar 15, 2016 Accepting new patients
Momenta Health PLLC PastSince Jul 26, 2023 Accepting new patients
Adich Clinic, P.S. Chiropractor Past Accepting new patients

Locations

819 SE 14th Loop
Ste 125
Battle Ground, WA 98604
Phone (360) 687-3181

1908 NW 1st Way
Ste 113
Battle Ground, WA 98604
Phone (360) 687-3181

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1477611457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 NW 1ST WAY",
            "address_2": "STE 113",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986044560",
            "telephone_number": "360-687-3181",
            "fax_number": "360-687-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 NW 1ST WAY STE 113",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986044560",
            "telephone_number": "360-687-3181",
            "fax_number": "360-687-1992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAPPAZON",
        "first_name": "JEFFREY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2120589",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR & IND",
            "identifier": "76935",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Ground, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.