NPIMap

Organization Active NPI

Bellingham Performance Chiropractic LLC

Doing business as Performance Chiropractic Bellingham LLC

  • Chiropractor
  • Bellingham, WA
National Provider Identifier
1629338017
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 00034787 Issued in WA
Legal business name
BELLINGHAM PERFORMANCE CHIROPRACTIC LLC
Doing business as
Performance Chiropractic Bellingham LLC
Practice address
3410 Woburn St Ste 202
Bellingham, WA 98226-5621
Phone
(360) 738-8877
Fax
(360) 752-3199
NPI assigned
May 21, 2012
Last updated
May 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2012

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

Authorized official

Name
Dr. Erik James Deroche, MS, DC, CSCSNPI 1699974873
Title
Owner/Doctor
Phone
(360) 738-8877

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH 00034787 WA Primary

Addresses

Primary practice location

3410 Woburn St Ste 202
Bellingham, WA 98226-5621

Mailing address

3410 Woburn St Suite 202
Bellingham, WA 98226-5621
Phone (360) 738-8877

Other names 1

  • Performance Chiropractic Bellingham LLC Doing business as

National Provider Directory

National Provider Directory

Locations

1433 N State St
Bellingham, WA 98225
Phone (360) 312-4901

3410 Woburn St
Ste 202
Bellingham, WA 98226
Phone (360) 738-8877

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": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337558400000",
    "number": "1629338017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 WOBURN ST SUITE 202",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982265621",
            "telephone_number": "360-738-8877",
            "fax_number": "360-752-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 WOBURN ST STE 202",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982265621",
            "telephone_number": "360-738-8877",
            "fax_number": "360-752-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLINGHAM PERFORMANCE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2012-05-21",
        "status": "A",
        "authorized_official_last_name": "DEROCHE",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "360-738-8877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MS, DC, CSCS"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH 00034787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Performance Chiropractic Bellingham LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; 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.