Organization Active NPI

Prosser Chiropractic and Wellness PLLC

  • Chiropractor
  • Prosser, WA
National Provider Identifier
1639507908
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002652 Issued in WA
Legal business name
PROSSER CHIROPRACTIC AND WELLNESS PLLC
Practice address
354 Chardonnay Ave
Suite 1
Prosser, WA 99350-9515
Phone
(509) 781-6235
NPI assigned
Oct 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Authorized official

Name
Joel GibbNPI 1275899627
Title
Authorized Official
Phone
(509) 781-6235

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 CH00002652 WA Primary

Addresses

Primary practice location

354 Chardonnay Ave
Suite 1
Prosser, WA 99350-9515

Mailing address

354 Chardonnay Ave Ste 1
Prosser, WA 99350-9545
Phone (509) 781-6235

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131127000274 WA Part B Supplier - Clinic/Group Practice 1951537737 Receives reassigned benefits from 1 practitioner
Practice locations: Prosser, WA

National Provider Directory

National Provider Directory

Locations

1108 Meade Ave
Prosser, WA 99350
Phone (509) 781-6235

354 Chardonnay Ave
Ste 1
Prosser, WA 99350
Phone (509) 781-6235

Practitioners & affiliated clinicians

Practitioners 4

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": "1382572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758844800000",
    "number": "1639507908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 CHARDONNAY AVE STE 1",
            "city": "PROSSER",
            "state": "WA",
            "postal_code": "993509545",
            "telephone_number": "509-781-6235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 CHARDONNAY AVE",
            "address_2": "SUITE 1",
            "city": "PROSSER",
            "state": "WA",
            "postal_code": "993509515",
            "telephone_number": "509-781-6235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSSER CHIROPRACTIC AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-24",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A",
        "authorized_official_last_name": "GIBB",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "509-781-6235"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prosser, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; 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.