Anatoliy Vergulyanets, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 60275801 Issued in WA

Practice address

109 SE 101St Ave
Vancouver, WA 98664-3907

Phone

(360) 553-1050

Fax

(503) 200-2980

NPI assigned

Apr 30, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Verg CMT

  • Chiropractor
  • Clackamas, OR
  • NPI 1548518061
  NPD (past) Authorized official

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1487912291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 SE CHKALOV DR STE 111-302",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986835292",
            "telephone_number": "360-553-1050",
            "fax_number": "503-200-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 SE 101ST AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986643907",
            "telephone_number": "360-553-1050",
            "fax_number": "503-200-2980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10001 SE Sunnyside Rd",
            "address_2": "Suite #120",
            "address_purpose": "LOCATION",
            "city": "Clackamasw",
            "state": "OR",
            "postal_code": "970159704",
            "country_code": "US",
            "telephone_number": "503-877-3435",
            "fax_number": "503-200-2980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERGULYANETS",
        "first_name": "ANATOLIY",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-30",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5048",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH 60275801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Verbeke
• Michael Peter Verbout, PTA
• Brandon Deon Vercnocke, BCAT, RBT
• Ana Victoria Verdin-Padilla
• Verdure Integrative Health LLC
• David Pavlovich Vergulyanets, PT, DPT.
• Darienne Marie Veri, LMHP
• Simone Lucia Vernez, M.D.
• Charles James Verro, MA, LMHC
• Versa Force LLC

• Chiropractor in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.