Active NPI
Jerry F Dallas, D.C.
- Chiropractor
- Bellingham, WA
National Provider Identifier
1528065463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00001047
- Practice address
- 1509 Broadway
Bellingham, WA 98225-3037 - Phone
- (360) 733-3775
- Fax
- (360) 647-1936
- NPI assigned
- Jul 7, 2005
- 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 | CH00001047 | WA | Primary |
Addresses
Primary practice location
1509 Broadway
Bellingham, WA 98225-3037
Mailing address
1509 Broadway
Bellingham, WA 98225-3037
Phone (360) 733-3775
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH00001047 | Other | WA | STATE OF WA |
| 0014529 | Other | WA | DEPT OF L AND I |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1509 Broadway
Bellingham, WA 98225-3037
1509 Broadway St
Bellingham, WA 98225-3037
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH00001047 | WA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1528065463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1509 BROADWAY",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982253037",
"telephone_number": "360-733-3775",
"fax_number": "360-647-1936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1509 BROADWAY",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982253037",
"telephone_number": "360-733-3775",
"fax_number": "360-647-1936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALLAS",
"first_name": "JERRY",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00001047",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF WA",
"identifier": "CH00001047",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF L AND I",
"identifier": "0014529",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.