Active NPI
James Gustaf Halberg, D.C.
- Chiropractor
- Port Angeles, WA
National Provider Identifier
1548212624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00034213
- Practice address
- 430 E Lauridsen Blvd
Suite 113
Port Angeles, WA 98362-7978 - Phone
- (360) 457-7576
- Fax
- (360) 452-8079
- NPI assigned
- May 16, 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 | CH00034213 | WA | Primary |
Addresses
Primary practice location
430 E Lauridsen Blvd
Suite 113
Port Angeles, WA 98362-7978
Mailing address
430 E Lauridsen Blvd
Suite 113
Port Angeles, WA 98362-7978
Phone (360) 457-7576
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0167048 | Other | WA | LABOR AND INDUSTRIES |
| 5327HA | Other | WA | REGENCE |
| 2027910 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
228 E Lauridsen Blvd
Port Angeles, WA 98362-7821
Phone (360) 457-7576
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Halberg Chiropractic Clinic, PLLC | Chiropractor | Current | Accepting new patients |
Locations
228 E Lauridsen Blvd
Port Angeles, WA 98362
Phone (360) 200-8744
430 E Lauridsen Blvd
Ste 113
Port Angeles, WA 98362
Phone (360) 457-7576
Organizations & group practices 1
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
- Port Angeles, WA
- NPI 1194778662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1548212624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 E LAURIDSEN BLVD",
"address_2": "SUITE 113",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983627978",
"telephone_number": "360-457-7576",
"fax_number": "360-452-8079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 E LAURIDSEN BLVD",
"address_2": "SUITE 113",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983627978",
"telephone_number": "360-457-7576",
"fax_number": "360-452-8079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALBERG",
"first_name": "JAMES",
"middle_name": "GUSTAF",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00034213",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "0167048",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "5327HA",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2027910",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Angeles, 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 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.