Active NPI
Timothy Edward Yoder, D.C.
- Chiropractor
- Vancouver, WA
National Provider Identifier
1760541650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00003052
- Practice address
- 9418 NE Van Mall Drive, Suite 101
Vancouver, WA 98662 - Phone
- (360) 260-6903
- Fax
- (360) 260-4849
- NPI assigned
- Dec 6, 2006
- Last updated
- Jul 8, 2007
- 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 | CH00003052 | WA | Primary |
Addresses
Primary practice location
9418 NE Van Mall Drive, Suite 101
Vancouver, WA 98662
Mailing address
16410 NE 12TH CT
Ridgefield, WA 98642-5647
Phone (360) 608-4120
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH00003052 | WA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760541650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16410 NE 12TH CT",
"city": "RIDGEFIELD",
"state": "WA",
"postal_code": "986425647",
"telephone_number": "360-608-4120",
"fax_number": "360-260-4849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9418 NE VAN MALL DRIVE, SUITE 101",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98662",
"telephone_number": "360-260-6903",
"fax_number": "360-260-4849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YODER",
"first_name": "TIMOTHY",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00003052",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.