Active NPI
Vernon Mabalay, DC
- Chiropractor
- Vancouver, WA
National Provider Identifier
1528890555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH61603837
- Practice address
- 402 W 8TH St
Vancouver, WA 98660-3113 - Phone
- (360) 828-5049
- NPI assigned
- Aug 19, 2024
- Last updated
- Sep 9, 2024
- 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 | CH61603837 | WA | Primary |
Addresses
Primary practice location
402 W 8TH St
Vancouver, WA 98660-3113
Mailing address
402 W 8TH St
Vancouver, WA 98660-3113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH61603837 | WA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1528890555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 W 8TH ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986603113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 W 8TH ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986603113",
"telephone_number": "360-828-5049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MABALAY",
"first_name": "VERNON",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-19",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH61603837",
"primary": true
}
],
"identifiers": [],
"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 Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.