NPIMap

Organization Active NPI

Evergreen Chiropractic & Health, LLC

  • Chiropractor
  • Richland, WA
National Provider Identifier
1750827044
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60697756 Issued in WA
Legal business name
EVERGREEN CHIROPRACTIC & HEALTH, LLC
Practice address
604 Williams Blvd Ste a
Richland, WA 99354-3207
Phone
(509) 551-5365
NPI assigned
Jan 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Authorized official

Name
Dr. Lucas D Watson, D.C.
Title
Owner
Phone
(509) 551-5365

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH60697756 WA Primary

Addresses

Primary practice location

604 Williams Blvd Ste a
Richland, WA 99354-3207

Mailing address

604 Williams Blvd Ste a
Richland, WA 99354-3207
Phone (509) 551-5365

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1750827044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 WILLIAMS BLVD STE A",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993543207",
            "telephone_number": "509-551-5365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 WILLIAMS BLVD STE A",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993543207",
            "telephone_number": "509-551-5365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN CHIROPRACTIC & HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-11",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-551-5365",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60697756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.