Kenneth Gene Wade, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH61621048 Issued in WA

Practice address

1776 Fowler St
Richland, WA 99352-4833

Phone

(509) 396-3980

NPI assigned

Oct 21, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Core Concepts PLLCGroup PAC ID 6608936539, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Core Concepts, PLLC

  • Chiropractor
  • West Richland, WA
  • NPI 1245491315
  Medicare reassignment Care Compare group NPD
• TRSR, PLLC

  • Chiropractor
  • West Richland, WA
  • NPI 1326362542
  NPD (past)

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1497576516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 FOWLER ST",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 FOWLER ST",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524833",
            "telephone_number": "509-396-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "KENNETH",
        "middle_name": "GENE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61621048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joelie Voeks, LMHC,CMHS,DMHP,MFT
• Desiree Vogel, LMP
• Marah Vogel
• Marcia R Vogel, LICSW
• W. Douglas Klein, DMD, PS
• Surender K Wadhwa, MD
• Hannah Sue Waggoner
• Rachel L. Wagner, ARNP
• Melvin M Wahl Jr., MD
• Laura L Waite

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.