Organization Active NPI

Absolute Life Chiropractic Inc PS

  • Chiropractor
  • Vancouver, WA
National Provider Identifier
1619067667
Registry record updated Feb 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00003052 Issued in WA
Legal business name
ABSOLUTE LIFE CHIROPRACTIC INC PS
Practice address
3021 NE 72ND Dr
15
Vancouver, WA 98661
Phone
(360) 260-6903
NPI assigned
Oct 13, 2006
Last updated
Feb 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2013

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

Authorized official

Name
Dr. Troy Michael Dreiling, DCNPI 1538144811
Title
Owner
Phone
(360) 260-6903

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00003052 WA Primary

Addresses

Primary practice location

3021 NE 72ND Dr
15
Vancouver, WA 98661

Mailing address

9418 NE Vancouver Mall Dr #105
Vancouver, WA 98662
Phone (360) 260-6903

National Provider Directory

National Provider Directory

Locations

3021 NE 72nd Dr
Ste 15
Vancouver, WA 98661
Phone (360) 260-6903

9418 NE Vancouver Mall Dr
#105
Vancouver, WA 98662
Phone (360) 260-6903

Practitioners & affiliated clinicians

Practitioners 1

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": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360281600000",
    "number": "1619067667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9418 NE VANCOUVER MALL DR #105",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98662",
            "telephone_number": "360-260-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 NE 72ND DR",
            "address_2": "15",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98661",
            "telephone_number": "360-260-6903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE LIFE CHIROPRACTIC INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2013-02-08",
        "status": "A",
        "authorized_official_last_name": "DREILING",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-260-6903",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003052",
            "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 Feb 8, 2013; 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.