Active NPI
Larry A Bain, DC
- Chiropractor
- Vancouver, WA
National Provider Identifier
1528034931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00000783
- Practice address
- 7612 NE Hazel Dell Ave
Vancouver, WA 98665 - Phone
- (360) 694-1575
- Fax
- (360) 696-4427
- NPI assigned
- Feb 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00000783 | WA | Primary |
Addresses
Primary practice location
7612 NE Hazel Dell Ave
Vancouver, WA 98665
Mailing address
7612 N.E. Hazel Dell Ave
Vancouver, WA 98665
Phone (360) 694-1575
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17047 | Other | OR | OR STATE PAYEE # (L&I) |
| 2041507 | Medicaid | WA | |
| 75953 | Other | WA | WA STATE PAYEE # (L&I) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120125000919 | WA | Practitioner - Chiropractic | 9739356106 | Practice locations: Vancouver, WA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1968
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7612 NE Hazel Dell Ave
Vancouver, WA 98665-8224
Phone (360) 694-1575
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Larry a Bain DC PC | Chiropractor | Past | Accepting new patients |
| Beacon Chiropractic Co | Chiropractor | Past | Accepting new patients |
| Family Chiropractic at Salmon Creek Inc | Chiropractor | 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.
-
- Chiropractor
- Vancouver, WA
- NPI 1992912596
-
- Chiropractor
- Vancouver, WA
- NPI 1699199109
-
- Chiropractor
- Vancouver, WA
- NPI 1407052350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329436800000",
"number": "1528034931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7612 N.E. HAZEL DELL AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98665",
"telephone_number": "360-694-1575",
"fax_number": "360-696-4427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7612 NE HAZEL DELL AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98665",
"telephone_number": "360-694-1575",
"fax_number": "360-696-4427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAIN",
"first_name": "LARRY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-24",
"last_updated": "2012-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00000783",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OR STATE PAYEE # (L&I)",
"identifier": "17047",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2041507",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA STATE PAYEE # (L&I)",
"identifier": "75953",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; 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.