Individual provider Active NPI

Jeffrey Frank Rindal, DC

  • Chiropractor
  • Mount Vernon, WA
National Provider Identifier
1811945181
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00001459 Issued in WA
Practice address
1601 William Way
Ste a
Mount Vernon, WA 98273-2500
Phone
(360) 424-8115
Fax
(360) 428-0104
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00001459 WA Primary

Addresses

Primary practice location

1601 William Way
Ste a
Mount Vernon, WA 98273-2500

Mailing address

21368 Bulson Rd
Mount Vernon, WA 98274-9543
Phone (360) 424-8115

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060710000242 WA Practitioner - Chiropractic 0345253548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Chiropractic Clinic PSGroup PAC ID 2961415153, 2 clinicians

Practice addresses (Care Compare)

1601 William Way
Suite a
Mount Vernon, WA 98273-2500
Phone (360) 424-8115

Hospital & facility affiliations

  • Skagit Valley Hospital Hospital, Mount Vernon, WA, CCN 500003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Chiropractic Clinic PS Chiropractor CurrentSince Dec 19, 2000 Accepting new patients

Locations

1601 William Way
Ste A
Mount Vernon, WA 98273
Phone (360) 424-8115

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1811945181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21368 BULSON RD",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982749543",
            "telephone_number": "360-424-8115",
            "fax_number": "360-428-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 WILLIAM WAY",
            "address_2": "STE A",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982732500",
            "telephone_number": "360-424-8115",
            "fax_number": "360-428-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINDAL",
        "first_name": "JEFFREY",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.