Bellingham Performance Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 00034787 Issued in WA

Legal business name

BELLINGHAM PERFORMANCE CHIROPRACTIC 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

Organization subpart

No

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, CSCS

Title

Owner/Doctor

Phone

(360) 738-8877

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Performance Chiropractic Bellingham LLC Doing business as

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly D Arnold, D.C.

  • Chiropractor
  • Bellingham, WA
  • NPI 1174697791
  NPD (past)
• Marnella Lee Ann Manier, LMP

  • Massage Therapist
  • Bellingham, WA
  • NPI 1013299528
  NPD (past)
• Daniel Colin Sweet, LMP

  • Massage Therapist
  • Bellingham, WA
  • NPI 1669758868
  NPD (past)
• Nicholas Adrian Hightower, DC

  • Chiropractor
  • Mauldin, SC
  • NPI 1336475854
  NPD (past)

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "166674873",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Performance Chiropractic Bellingham LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bellingham Operations, LLC
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• Bellingham Osteopathic Center, PC
• Bellingham Pediatric Dentistry
• Bellingham Pediatric Therapy
• Bellingham Physical Therapy, PLLC
• Bellingham Radiation Oncology PLLC
• Bellingham Retina Specialists, PLLC
• Bellingham School District
• Bellingham South of Cascadia, LLC

• Chiropractor in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Chiropractor in Washington

• 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.