Individual provider Active NPI

Nicole Marie Czech, DC

  • Chiropractor
  • Vancouver, WA
National Provider Identifier
1669939914
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60928142 Issued in WA
Practice address
16500 SE 15TH St Ste 160
Vancouver, WA 98683-9666
Phone
(360) 718-7944
Fax
(360) 718-7931
NPI assigned
Feb 22, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlas Spinal Care P C 2 clinicians

Practice addresses (Care Compare)

16500 SE 15TH St
Suite 160
Vancouver, WA 98683-9666
Phone (360) 718-7944

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20200512001410 WA Practitioner - Chiropractic 2466883285 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Spinal Care Vancouver, P.C. Chiropractor Current Accepting new patients

Locations

16500 SE 15th St
Ste 160
Vancouver, WA 98683
Phone (360) 718-7944

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60928142 WA Primary

Addresses

NPPES NPI Registry

Primary practice location

16500 SE 15TH St Ste 160
Vancouver, WA 98683-9666

Mailing address

16500 SE 15TH St Ste 160
Vancouver, WA 98683-9666
Phone (360) 718-7944

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 22, 2019.

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1669939914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16500 SE 15TH ST STE 160",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839666",
            "telephone_number": "360-718-7944",
            "fax_number": "360-718-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16500 SE 15TH ST STE 160",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839666",
            "telephone_number": "360-718-7944",
            "fax_number": "360-718-7931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZECH",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60928142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; 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.