Organization Active NPI

Van Fleet Chiropractic PS

  • Chiropractor
  • Longview, WA
National Provider Identifier
1619274081
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
VAN FLEET CHIROPRACTIC PS
Practice address
1060 Hudson St
Longview, WA 98632-3103
Phone
(360) 423-2037
Fax
(360) 423-9320
NPI assigned
Feb 22, 2011
Last updated
Aug 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Authorized official

Name
Chris Taylor
Title
Billing Manager
Phone
(360) 450-5795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1060 Hudson St
Longview, WA 98632-3103

Mailing address

1060 Hudson St
Longview, WA 98632-3103
Phone (360) 423-2037

Other identifiers 6

IdentifierTypeStateIssuer
350030478OtherWARAILROAD MM
0004892OtherL&I
2007250OtherDSHS
G000700204OtherWAMEDICARE
8920472OtherWACRIME VICTIMS
T02610OtherWAUPIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161010001268 WA Part B Supplier - Clinic/Group Practice 9335437250 Receives reassigned benefits from 5 practitioners
Practice locations: Longview, WA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1298332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1619274081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 HUDSON ST",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323103",
            "telephone_number": "360-423-2037",
            "fax_number": "360-423-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 HUDSON ST",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323103",
            "telephone_number": "360-423-2037",
            "fax_number": "360-423-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN FLEET CHIROPRACTIC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-22",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "360-450-5795"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MM",
            "identifier": "350030478",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0004892",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSHS",
            "identifier": "2007250",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "G000700204",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS",
            "identifier": "8920472",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "T02610",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.