Dr Wade D Burbank BS DC P S

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

CH00033654 Issued in WA

Legal business name

DR WADE D BURBANK BS DC P S

Practice address

6403 NE 117TH Ave
Suite 109
Vancouver, WA 98662-5560

Phone

(360) 567-1739

Fax

(360) 256-0300

NPI assigned

May 6, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Wade Dean Burbank, DC

Title

Owner/Doctor

Phone

(360) 567-1739

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408492800000",
    "number": "1649680190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6403 NE 117TH AVE",
            "address_2": "SUITE 109",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986625560",
            "telephone_number": "360-567-1739",
            "fax_number": "360-256-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6403 NE 117TH AVE",
            "address_2": "SUITE 109",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986625560",
            "telephone_number": "360-567-1739",
            "fax_number": "360-256-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR WADE D BURBANK BS DC P S",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-06",
        "last_updated": "2014-08-20",
        "status": "A",
        "authorized_official_last_name": "BURBANK",
        "authorized_official_first_name": "WADE",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "360-567-1739",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "CH00033654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; 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.