Individual provider Active NPI

Tim N Thompson, D.C.

  • Chiropractor
  • Prosser, WA
National Provider Identifier
1700919701
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034094 Issued in WA
Practice address
1209 Meade Ave
Prosser, WA 99350
Phone
(509) 786-3637
Fax
(509) 786-7385
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00034094 WA Primary

Addresses

Primary practice location

1209 Meade Ave
Prosser, WA 99350

Mailing address

1209 Meade Ave
Prosser, WA 99350
Phone (509) 786-3637

Other identifiers 3

IdentifierTypeStateIssuer
U29303MedicaidWA
4329THOtherWAREGENCE
158360OtherWALI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081211000248 WA Practitioner - Chiropractic 6002977824 Receives reassigned benefits from 2 practitioners
Practice locations: Prosser, WA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH00034094WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
TNT Chiropractic Chiropractor CurrentSince Jan 1, 1990 Accepting new patients

Locations

1209 Meade Ave
Prosser, WA 99350
Phone (509) 786-3637

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1700919701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 MEADE AVE",
            "city": "PROSSER",
            "state": "WA",
            "postal_code": "99350",
            "telephone_number": "509-786-3637",
            "fax_number": "509-839-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 MEADE AVE",
            "city": "PROSSER",
            "state": "WA",
            "postal_code": "99350",
            "telephone_number": "509-786-3637",
            "fax_number": "509-786-7385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "TIM",
        "middle_name": "N",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "U29303",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "4329TH",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LI",
            "identifier": "158360",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prosser, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.