Organization Active NPI

East Cascade Chiropractic, PLLC

  • Chiropractor
  • Cle Elum, WA
National Provider Identifier
1497031058
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60133399 Issued in WA
Legal business name
EAST CASCADE CHIROPRACTIC, PLLC
Practice address
202 W 1St St
Suite 1
Cle Elum, WA 98922-1154
Phone
(509) 674-5057
Fax
(509) 674-6946
NPI assigned
Oct 27, 2011
Last updated
Oct 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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

Authorized official

Name
Jesse Alan Messerschmidt, D.C.NPI 1770806556
Title
Owner
Phone
(509) 674-5057

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 CH60133399 WA Primary

Addresses

Primary practice location

202 W 1St St
Suite 1
Cle Elum, WA 98922-1154

Mailing address

PO Box 845
Cle Elum, WA 98922-0845
Phone (509) 674-5057

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111130000874 WA Part B Supplier - Clinic/Group Practice 6709050735 Receives reassigned benefits from 2 practitioners
Practice locations: Cle Elum, WA

National Provider Directory

National Provider Directory

Locations

202 W 1st St
Ste 1
Cle Elum, WA 98922
Phone (509) 674-5057

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1497031058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845",
            "city": "CLE ELUM",
            "state": "WA",
            "postal_code": "989220845",
            "telephone_number": "509-674-5057",
            "fax_number": "509-674-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W 1ST ST",
            "address_2": "SUITE 1",
            "city": "CLE ELUM",
            "state": "WA",
            "postal_code": "989221154",
            "telephone_number": "509-674-5057",
            "fax_number": "509-674-6946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST CASCADE CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-27",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "MESSERSCHMIDT",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-674-5057",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60133399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cle Elum, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; 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.