Individual provider Active NPI

Paul E Dodson, D.C.

  • Chiropractor
  • Richland, WA
National Provider Identifier
1487986642
Registry record updated Dec 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60138047 Issued in WA
Practice address
134 Keene Rd
Richland, WA 99352-8683
Phone
(509) 628-9966
Fax
(509) 628-9976
NPI assigned
Feb 12, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60138047 WA Primary

Addresses

Primary practice location

134 Keene Rd
Richland, WA 99352-8683

Mailing address

1067 Meadow Hills Dr
Richland, WA 99352-8661
Phone (636) 577-5586

Other practice location 1

1067 Meadow Hills Dr
Richland, WA 99352-8661
Phone (636) 577-5586

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120626000311 WA Practitioner - Chiropractic 5294990248 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifestyle Chiropractic and Massage, PLLCGroup PAC ID 8820220247, 3 clinicians

Practice addresses (Care Compare)

134 Keene Rd
Richland, WA 99352-8683
Phone (509) 628-9966

7303 W Canal Dr
Suite B101
Kennewick, WA 99336-6605
Phone (509) 735-7474

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH60138047WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Chiropractic and Massage, PLLC Chiropractor CurrentSince Dec 21, 2025 Accepting new patients
Lifestyle Healthcare, PLLC Past Accepting new patients

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": "1265932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766188800000",
    "number": "1487986642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1067 MEADOW HILLS DR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993528661",
            "telephone_number": "636-577-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 KEENE RD",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993528683",
            "telephone_number": "509-628-9966",
            "fax_number": "509-628-9976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1067 Meadow Hills Dr",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "993528661",
            "country_code": "US",
            "telephone_number": "636-577-5586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DODSON",
        "first_name": "PAUL",
        "middle_name": "E",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-12",
        "last_updated": "2025-12-20",
        "certification_date": "2025-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60138047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2025; 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.