Larry Lee Wasilenkoff, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00003418 Issued in WA

Practice address

705 SE Park Crest Ave Ste A120
Vancouver, WA 98683-1303

Phone

(360) 892-3654

Fax

(360) 892-3692

NPI assigned

Nov 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Chiropractic Centre Corp

  • Sports Physician Chiropractor
  • Vancouver, WA
  • NPI 1710032057
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659442135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 SE PARK CREST AVE STE A120",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986831303",
            "telephone_number": "360-892-3654",
            "fax_number": "360-892-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 SE PARK CREST AVE STE A120",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986831303",
            "telephone_number": "360-892-3654",
            "fax_number": "360-892-3692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASILENKOFF",
        "first_name": "LARRY",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Washington Physicians Eyecare Group, P.C.
• Washington State University
• Washington Women's Sexual Health
• Ashlea Washington
• Juanita Washington
• Alvin Shinichi Watanabe, DMD
• Waterford Outpatient Rehabilitation Clinic
• Karen T Waters, LMHC
• Charles Watkins
• Gina Marie Watkins, LCSW, LICSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.