Individual provider Active NPI

Daniel Brighton Thompson, DC

  • Chiropractor
  • Enumclaw, WA
National Provider Identifier
1609942374
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3013 Issued in WA
Practice address
1624 Pioneer St
Ste a
Enumclaw, WA 98022-2299
Phone
(360) 825-5757
Fax
(360) 825-5784
NPI assigned
Nov 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3013 WA Primary

Addresses

Primary practice location

1624 Pioneer St
Ste a
Enumclaw, WA 98022-2299

Mailing address

1624 Pioneer St
Ste a
Enumclaw, WA 98022-2299
Phone (360) 825-5757

Other identifiers 1

IdentifierTypeStateIssuer
217000233MedicaidWA

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
3013WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Enumclaw Family Chiropractic PLLC Chiropractor PastSince Jul 25, 2021 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1609942374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 PIONEER ST",
            "address_2": "STE A",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980222299",
            "telephone_number": "360-825-5757",
            "fax_number": "360-825-5784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 PIONEER ST",
            "address_2": "STE A",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980222299",
            "telephone_number": "360-825-5757",
            "fax_number": "360-825-5784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "DANIEL",
        "middle_name": "BRIGHTON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "3013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217000233",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enumclaw, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.