Abundant Life Chiropractic Center
Organization Active NPI Chiropractor · Wenatchee, WA
NPI 1669803045 · NPPES record last updated Jul 2, 2025
Key facts
- NPI
- 1669803045
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- CH60429423 (WA)
- Legal business name
- ABUNDANT LIFE CHIROPRACTIC CENTER
- Practice address
- 1407 Maiden LN Ste a
Wenatchee, WA 98801-1026 - Phone
- (509) 885-3999
- NPI assigned
- Dec 10, 2013
- Organization subpart
- No
Authorized official
- Name
- Jacob Daniel Kragt
- Title
- President/Owner
- Phone
- (509) 885-3999
Practitioners 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140611001770 | WA | Part B Supplier - Clinic/Group Practice | 5395969414 |
Receives reassigned benefits from 2 practitioners Practice locations: Wenatchee, WA |
National Provider Directory
Locations
1925 N Wenatchee Ave
Wenatchee, WA 98801
1925 N Wenatchee Ave
Ste 400
Wenatchee, WA 98801
Phone (509) 885-3999
1925 N Wenatchee Ave
Ste 4
Wenatchee, WA 98801
1407 Maiden Ln
Ste A
Wenatchee, WA 98801
Phone (509) 885-3999
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | CH60429423 | WA | Yes |
Addresses
Primary practice location
1407 Maiden LN Ste a
Wenatchee, WA 98801-1026
Mailing address
1925 N Wenatchee Ave
Wenatchee, WA 98801-8332
Phone (509) 885-3999
Other names
- Abundant Life Chiropractic
Other providers in Wenatchee, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.