Active NPI
Eric Vogelzang, D.C.
- Chiropractor
- Vancouver, WA
National Provider Identifier
1750768701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 60530989
- Practice address
- 1001 Broadway St Unit 200
Vancouver, WA 98660-3296 - Phone
- (360) 828-1574
- Fax
- (360) 574-6430
- NPI assigned
- Apr 29, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH 60530989 | WA | Primary |
Addresses
Primary practice location
1001 Broadway St Unit 200
Vancouver, WA 98660-3296
Mailing address
13712 NE 20TH Ave
Vancouver, WA 98686-2698
Phone (360) 574-5944
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH 60530989 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chirohealth and Wellness PLC | Chiropractor | Current | Accepting new patients |
| Bridge Chiropractic 5 LLC | Chiropractor | Current | Accepting new patients |
Locations
2213 Wealthy St SE
Ste 220
Grand Rapids, MI 49506
Phone (616) 458-2342
1001 Broadway St
Unit 200
Vancouver, WA 98660
Phone (360) 574-5944
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.
-
dba Gaslight Family Chiropractic
- Chiropractor
- Grand Rapids, MI
- NPI 1932573219
-
- Chiropractor
- Vancouver, WA
- NPI 1669856415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613692800000",
"number": "1750768701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13712 NE 20TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986862698",
"telephone_number": "360-574-5944",
"fax_number": "360-574-6430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 BROADWAY ST UNIT 200",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986603296",
"telephone_number": "360-828-1574",
"fax_number": "360-574-6430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOGELZANG",
"first_name": "ERIC",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-29",
"last_updated": "2021-02-19",
"certification_date": "2021-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH 60530989",
"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 Feb 19, 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.