Individual provider Active NPI

Jason Alexander Walker, D.C.

  • Chiropractor
  • Rochester, WA
National Provider Identifier
1831260553
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034582 Issued in WA
Practice address
10139 Highway 12 SW
Rochester, WA 98579-8621
Phone
(360) 273-2225
Fax
(360) 273-0202
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00034582 WA Primary

Addresses

Primary practice location

10139 Highway 12 SW
Rochester, WA 98579-8621

Mailing address

PO Box 14027
Tumwater, WA 98511-4027
Phone (360) 273-2225

Other identifiers 1

IdentifierTypeStateIssuer
1639307382OtherGROUP NPI

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

LicenseStateTypeSpecialty
CH00034582WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jay Walker Chiropractic PLLC Chiropractor CurrentSince Jan 1, 2013 Accepting new patients
Rochester Wellness Clinic Chiropractor Past Accepting new patients
Scot a Turner DC PS Chiropractor Past Accepting new patients

Locations

1000 Kresky Ave
Ste J
Centralia, WA 98531
Phone (360) 736-1191

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246406400000",
    "number": "1831260553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14027",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985114027",
            "telephone_number": "360-273-2225",
            "fax_number": "360-273-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10139 HIGHWAY 12 SW",
            "city": "ROCHESTER",
            "state": "WA",
            "postal_code": "985798621",
            "telephone_number": "360-273-2225",
            "fax_number": "360-273-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JASON",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2009-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1639307382",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; 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.