Organization Active NPI

Yoder Chiropractic Center P.S.

  • Chiropractor
  • Vancouver, WA
National Provider Identifier
1720367667
Registry record updated Aug 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034526 Issued in WA
Legal business name
YODER CHIROPRACTIC CENTER P.S.
Practice address
16111 SE McGillivray Blvd
Ste a
Vancouver, WA 98683-9033
Phone
(360) 254-0994
Fax
(360) 254-0930
NPI assigned
Aug 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2011

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

Authorized official

Name
Dr. Tim Edward Yoder, D.C.
Title
Owner
Phone
(360) 254-0994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH00034526 WA Primary

Addresses

Primary practice location

16111 SE McGillivray Blvd
Ste a
Vancouver, WA 98683-9033

Mailing address

16111 SE McGillivray Blvd
Ste a
Vancouver, WA 98683-9033
Phone (360) 254-0994

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312934400000",
    "number": "1720367667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16111 SE MCGILLIVRAY BLVD",
            "address_2": "STE A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839033",
            "telephone_number": "360-254-0994",
            "fax_number": "360-254-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16111 SE MCGILLIVRAY BLVD",
            "address_2": "STE A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839033",
            "telephone_number": "360-254-0994",
            "fax_number": "360-254-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YODER CHIROPRACTIC CENTER P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-10",
        "last_updated": "2011-08-10",
        "status": "A",
        "authorized_official_last_name": "YODER",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-254-0994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034526",
            "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 Aug 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.