Individual provider Active NPI

Jaclyn Duenas, D.C.

  • Chiropractor
  • Port Angeles, WA
National Provider Identifier
1700292125
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
60475722 Issued in WA
Practice address
123 E 1St St Ste 1a
Port Angeles, WA 98362-2902
Phone
(360) 452-5010
NPI assigned
Jul 7, 2014
Last updated
Sep 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 60475722 WA Primary

Addresses

Primary practice location

123 E 1St St Ste 1a
Port Angeles, WA 98362-2902

Mailing address

PO Box 2365
Port Angeles, WA 98362-0305
Phone (206) 909-6019

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150918001530 WA Practitioner - Chiropractic 4587971874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

123 E 1St St
Suite 1a
Port Angeles, WA 98362-2902
Phone (360) 452-5010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60475722WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Integrative Chiropractic CurrentSince Jun 1, 2019 Accepting new patients

Locations

123 E 1st St
Ste 1A
Port Angeles, WA 98362
Phone (360) 452-5010

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1700292125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2365",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983620305",
            "telephone_number": "206-909-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 E 1ST ST STE 1A",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983622902",
            "telephone_number": "360-452-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUENAS",
        "first_name": "JACLYN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-07",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "60475722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Angeles, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.