Active NPI
Tony Lee Grafton, DC
- Chiropractor
- Vancouver, WA
National Provider Identifier
1629089115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00033884
- Practice address
- 615 SE Chkalov Dr
Ste 7
Vancouver, WA 98683-5279 - Phone
- (360) 885-1767
- Fax
- (360) 885-1394
- NPI assigned
- Aug 10, 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 | CH00033884 | WA | Primary |
Addresses
Primary practice location
615 SE Chkalov Dr
Ste 7
Vancouver, WA 98683-5279
Mailing address
615 SE Chkalov Dr
Ste 7
Vancouver, WA 98683
Phone (360) 885-1767
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 808130000 | Other | WA | BCBS OR |
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 - Davenport, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
615 SE Chkalov Dr
Suite 7
Vancouver, WA 98683-5200
Phone (360) 885-1767
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH00033884 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grafton Chiropractic PLLC | Chiropractor | Current | Accepting new patients |
| Acupuncture in Vancouver Inc. | Past | Accepting new patients |
Locations
615 SE Chkalov Dr
Ste 7
Vancouver, WA 98683
Phone (360) 885-1767
615 SE Chkalov Dr
Vancouver, WA 98683
Phone (360) 256-6748
Organizations & group practices 2
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
- Vancouver, WA
- NPI 1558551457
-
- Acupuncturist
- Vancouver, WA
- NPI 1245543644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438646400000",
"number": "1629089115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 SE CHKALOV DR",
"address_2": "STE 7",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98683",
"telephone_number": "360-885-1767",
"fax_number": "360-885-1394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 SE CHKALOV DR",
"address_2": "STE 7",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986835279",
"telephone_number": "360-885-1767",
"fax_number": "360-885-1394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAFTON",
"first_name": "TONY",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2015-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00033884",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OR",
"identifier": "808130000",
"state": "WA"
}
],
"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 Aug 4, 2015; 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.