Active NPI
Wayne Mark Latimer
- Chiropractor
- Wenatchee, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00003031
- Practice address
- 739 South Mission St.
Wenatchee, WA 98801 - Phone
- (509) 665-7208
- NPI assigned
- Feb 13, 2007
- Last updated
- Apr 27, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 3606 | WA | |
| Chiropractor | 111N00000X | CH00003031 | WA | Primary |
Addresses
Primary practice location
739 South Mission St.
Wenatchee, WA 98801
Mailing address
603 N Mission St
Wenatchee, WA 98801-2049
Phone (509) 884-4357
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0159778 | Other | WA | WA ST. LABOR AND INDUSTRY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 1994
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
10171 Chumstick Hwy
Suite 1
Leavenworth, WA 98826-8762
Phone (509) 548-3133
603 N Mission St
Wenatchee, WA 98801-2049
Phone (509) 884-4357
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH00003031 | WA | MD | Chiropractor |
| 3606 | WA | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iroc PS | Chiropractor | Current | Accepting new patients |
| Mt. Stuart P.T., P.S. | Current | Accepting new patients | |
| Gehm Chiropractic Services | Past | Accepting new patients | |
| Hazel Dell Sports Medicine & Rehab Clinic PLLC | Chiropractor | Past | Accepting new patients |
Locations
10171 Chumstick Hwy
Ste 1
Leavenworth, WA 98826
Phone (509) 548-3133
Organizations & group practices 4
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.
-
dba Latimer Integrative Chiropractic & Rehab
- Sports Physician Chiropractor
- Wenatchee, WA
- NPI 1235256918
-
- Physical Therapist
- Leavenworth, WA
- NPI 1295805737
-
- Clinic/Center
- Vancouver, WA
- NPI 1811453327
-
dba Forgey SportsMed & Rehab Clinic
- Chiropractor
- Vancouver, WA
- NPI 1902930076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461715200000",
"number": "1679615678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 N MISSION ST",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988012049",
"telephone_number": "509-884-4357",
"fax_number": "509-888-4601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "739 SOUTH MISSION ST.",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "98801",
"telephone_number": "509-665-7208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATIMER",
"first_name": "WAYNE",
"middle_name": "MARK",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2016-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "WA",
"license": "3606",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00003031",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA ST. LABOR AND INDUSTRY",
"identifier": "0159778",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wenatchee, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.