Active NPI
Nevin M Rosenberg, D.C.
- Chiropractor
- Vancouver, WA
National Provider Identifier
1780713388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH60506510
- Practice address
- 4001 Main St
Suite 200
Vancouver, WA 98663-1887 - Phone
- (360) 693-3030
- NPI assigned
- Mar 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH60506510 | WA | Primary |
| Chiropractor | 111N00000X | 5549 | OR |
Addresses
Primary practice location
4001 Main St
Suite 200
Vancouver, WA 98663-1887
Mailing address
19215 SE 34TH St
Ste. #106-161
Camas, WA 98607-8829
Phone (541) 728-3431
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 |
|---|---|---|---|
| CH60506510 | WA | MD | Chiropractor |
| 5549 | OR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BC Chiropractic Clinic | Chiropractor | Past | Accepting new patients |
| Town Center Chiropractic, P.C. | Chiropractor | Past | Accepting new patients |
| Believe to Achieve Chiropractic P.a. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Chiropractor
- Robbinsdale, MN
- NPI 1962611608
-
- Chiropractor
- Vancouver, WA
- NPI 1922271352
-
- Chiropractor
- Robbinsdale, MN
- NPI 1093086696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419984000000",
"number": "1780713388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19215 SE 34TH ST",
"address_2": "STE. #106-161",
"city": "CAMAS",
"state": "WA",
"postal_code": "986078829",
"telephone_number": "541-728-3431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 MAIN ST",
"address_2": "SUITE 200",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986631887",
"telephone_number": "360-693-3030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBERG",
"first_name": "NEVIN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-02",
"last_updated": "2014-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH60506510",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "5549",
"primary": false
}
],
"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 Dec 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.