Juan Ramon Camacho, DC

Primary specialty

Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X

License

CH60841231 Issued in WA

Practice address

403 N Euclid St
Grandview, WA 98930-9407

Phone

(509) 402-9020

Fax

(509) 402-9036

NPI assigned

Apr 4, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Camacho Chiropractic and Sports Medicine LLCGroup PAC ID 1355689654, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Camacho Chiropractic and Sports Medicine LLC

  • Rehabilitation Clinic/Center
  • Grandview, WA
  • NPI 1013488360

  Independent Medical Examiner

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1649776949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 DOUGLAS ST",
            "city": "GRANDVIEW",
            "state": "WA",
            "postal_code": "989301334",
            "telephone_number": "509-305-5163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 N EUCLID ST",
            "city": "GRANDVIEW",
            "state": "WA",
            "postal_code": "989309407",
            "telephone_number": "509-402-9020",
            "fax_number": "509-402-9036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO",
        "first_name": "JUAN",
        "middle_name": "RAMON",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-04",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "WA",
            "license": "CH60841231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan K Bussert
• Dennis Dewayne Byam, D.C.
• Max Jin Zhe Cai, DDS
• Christopher Calderon-Rogers, MD
• Camacho Chiropractic and Sports Medicine LLC
• Edgar Candido, DC
• Samantha Marie Canoy
• Care Center (Grandview) Inc.
• Elba Carrillo
• Isis Nayeli Carrillo

• Independent Medical Examiner Chiropractor in Grandview, WA
• Providers in Grandview, WA by specialty
• Independent Medical Examiner Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.

Verify at the official NPI Registry.