Individual provider Active NPI

Benjamin David Pierri

  • Chiropractor
  • Graham, WA
National Provider Identifier
1740016641
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH61595583 Issued in WA
Practice address
10107 213TH St E
Graham, WA 98338-8059
Phone
(253) 847-2687
Fax
(253) 846-3012
NPI assigned
Sep 9, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH61595583 WA Primary

Addresses

Primary practice location

10107 213TH St E
Graham, WA 98338-8059

Mailing address

PO Box 988
Graham, WA 98338-0988
Phone (253) 847-2687

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CH61595583WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Voss Chiropractic, P.S. Chiropractor CurrentSince Sep 15, 2024 Accepting new patients
Clark Therapeutic Massage PastSince Sep 15, 2024 Accepting new patients

Organizations & group practices 2

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": "1725840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1740016641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 988",
            "city": "GRAHAM",
            "state": "WA",
            "postal_code": "983380988",
            "telephone_number": "253-847-2687",
            "fax_number": "253-846-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10107 213TH ST E",
            "city": "GRAHAM",
            "state": "WA",
            "postal_code": "983388059",
            "telephone_number": "253-847-2687",
            "fax_number": "253-846-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERRI",
        "first_name": "BENJAMIN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61595583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Graham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.