Organization Active NPI

Dayton Chiropractic Inc

  • Chiropractor
  • Dayton, WA
National Provider Identifier
1598890758
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034239 Issued in WA
Legal business name
DAYTON CHIROPRACTIC INC
Practice address
350 E Main St
Dayton, WA 99328-1355
Phone
(509) 382-2313
Fax
(509) 382-8995
NPI assigned
Feb 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert John Betzler, D.C.NPI 1124153374
Title
President
Phone
(509) 382-2313

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00034239 WA Primary

Addresses

Primary practice location

350 E Main St
Dayton, WA 99328-1355

Mailing address

PO Box 29
Dayton, WA 99328-0029
Phone (509) 382-2313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080311000241 WA Part B Supplier - Clinic/Group Practice 7113002460 Receives reassigned benefits from 1 practitioner
Practice locations: Walla Walla, WA

National Provider Directory

National Provider Directory

Locations

100 N College Ave
#A
College Place, WA 99324
Phone (509) 525-2939

100 N College Ave
#B
College Place, WA 99324
Phone (509) 520-5716

164 E Main St
Dayton, WA 99328
Phone (509) 382-4043

350 E Main St
Dayton, WA 99328
Phone (509) 382-2313

627 W Main St
Walla Walla, WA 99362
Phone (509) 382-4043

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598890758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29",
            "city": "DAYTON",
            "state": "WA",
            "postal_code": "993280029",
            "telephone_number": "509-382-2313",
            "fax_number": "509-382-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E MAIN ST",
            "city": "DAYTON",
            "state": "WA",
            "postal_code": "993281355",
            "telephone_number": "509-382-2313",
            "fax_number": "509-382-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTON CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BETZLER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-382-2313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.