Organization Active NPI

Chirorelief, LTD

  • Chiropractor
  • Ridgefield, WA
National Provider Identifier
1801627450
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHIRORELIEF, LTD
Practice address
2 S 56TH PL Ste 100
Ridgefield, WA 98642-3426
Phone
(618) 406-1184
NPI assigned
Aug 13, 2024
Last updated
Aug 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Authorized official

Name
Dr. Michael Berg, DCPNPI 1184642332
Title
President
Phone
(618) 406-1184

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

2 S 56TH PL Ste 100
Ridgefield, WA 98642-3426

Mailing address

14616 NW 20TH Ave
Vancouver, WA 98685-8017
Phone (618) 406-1184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241213001342 WA Part B Supplier - Clinic/Group Practice 1658807615 Receives reassigned benefits from 1 practitioner
Practice locations: Ridgefield, WA

National Provider Directory

National Provider Directory

Locations

2 S 56th Pl
Ste 100
Ridgefield, WA 98642
Phone (360) 784-2992

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1801627450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14616 NW 20TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986858017",
            "telephone_number": "618-406-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 S 56TH PL STE 100",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986423426",
            "telephone_number": "618-406-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRORELIEF, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-406-1184",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DCP"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.

Verify at the official NPI Registry.