NPIMap

Organization Active NPI

Griffith Chiropractic Clinic, PC

  • Chiropractor
  • Vancouver, WA
National Provider Identifier
1730354150
Registry record updated Apr 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034450 Issued in WA
Legal business name
GRIFFITH CHIROPRACTIC CLINIC, PC
Doing business as
Griffith Chiropractic Clinic, PC
Practice address
3305 Main St
Suite 117
Vancouver, WA 98663-2255
Phone
(360) 693-8064
Fax
(360) 693-7206
NPI assigned
Apr 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2008

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

Authorized official

Name
Dr. Kamala R Griffith, D.C.NPI 1538110036
Title
President
Phone
(360) 693-8064

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00034450 WA Primary

Addresses

Primary practice location

3305 Main St
Suite 117
Vancouver, WA 98663-2255

Mailing address

3305 Main St
Suite 117
Vancouver, WA 98663-2255
Phone (360) 693-8064

Other names 1

  • Griffith Chiropractic Clinic, PC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081118000219 WA Part B Supplier - Clinic/Group Practice 7113087388 Receives reassigned benefits from 3 practitioners
Practice locations: Vancouver, WA

National Provider Directory

National Provider Directory

Locations

3305 Main St
Ste 117
Vancouver, WA 98663
Phone (360) 693-8064

Practitioners & affiliated clinicians

Practitioners 3

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": "1209254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209254400000",
    "number": "1730354150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 MAIN ST",
            "address_2": "SUITE 117",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986632255",
            "telephone_number": "360-693-8064",
            "fax_number": "360-693-7206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 MAIN ST",
            "address_2": "SUITE 117",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986632255",
            "telephone_number": "360-693-8064",
            "fax_number": "360-693-7206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIFFITH CHIROPRACTIC CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-27",
        "last_updated": "2008-04-27",
        "status": "A",
        "authorized_official_last_name": "GRIFFITH",
        "authorized_official_first_name": "KAMALA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-693-8064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Griffith Chiropractic Clinic, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 27, 2008; 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.