Individual provider Active NPI

Paul W Fearn, DC

  • Chiropractor
  • Camas, WA
National Provider Identifier
1699733667
Registry record updated Jan 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH000003539 Issued in WA
Practice address
19206 SE 1St St Ste 118
Camas, WA 98607-7478
Phone
(360) 834-6964
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH000003539 WA Primary

Addresses

Primary practice location

19206 SE 1St St Ste 118
Camas, WA 98607-7478

Mailing address

19206 SE 1St. St #118
Camas, WA 98607-2603
Phone (360) 834-6964

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071227000030 WA Practitioner - Chiropractic 1951491224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

19206 SE 1St St
Suite 118
Camas, WA 98607-7478
Phone (360) 433-9016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH000003539WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Fearn Natural Health Care, Inc. PC Chiropractor CurrentSince May 28, 1998 Accepting new patients

Locations

19206 SE 1st St
Ste 118
Camas, WA 98607
Phone (360) 433-9016

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453420800000",
    "number": "1699733667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19206 SE 1ST. ST #118",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986072603",
            "telephone_number": "360-834-6964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19206 SE 1ST ST STE 118",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986077478",
            "telephone_number": "360-834-6964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEARN",
        "first_name": "PAUL",
        "middle_name": "W",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2016-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH000003539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camas, WA

Sources for this page

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

Verify at the official NPI Registry.