NPIMap

Organization Active NPI

Clear Choice Chiropractic PC, Inc.

  • Chiropractor
  • Battle Ground, WA
National Provider Identifier
1669645677
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034124 Issued in WA
Legal business name
CLEAR CHOICE CHIROPRACTIC PC, INC.
Practice address
15 SW 12TH Ave
Battle Ground, WA 98604-4371
Phone
(360) 666-7722
Fax
(360) 666-3388
NPI assigned
Apr 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Authorized official

Name
Dr. Daniel James Thompson I, DCNPI 1801839840
Title
Owner/President
Phone
(360) 666-7722

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00034124 WA Primary

Addresses

Primary practice location

15 SW 12TH Ave
Battle Ground, WA 98604-4371

Mailing address

15 SW 12TH Ave
Battle Ground, WA 98604-4371
Phone (360) 666-7722

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110427000456 WA Part B Supplier - Clinic/Group Practice 9032394549 Receives reassigned benefits from 2 practitioners
Practice locations: Battle Ground, WA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1669645677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SW 12TH AVE",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986044371",
            "telephone_number": "360-666-7722",
            "fax_number": "360-666-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SW 12TH AVE",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986044371",
            "telephone_number": "360-666-7722",
            "fax_number": "360-666-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR CHOICE CHIROPRACTIC PC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "360-666-7722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Ground, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.