Individual provider Active NPI

Zachary Mabalay, DC

  • Chiropractor
  • Vancouver, WA
National Provider Identifier
1831843051
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH61257564 Issued in WA
Practice address
402 W 8TH St
Vancouver, WA 98660-3113
Phone
(360) 828-5049
NPI assigned
Feb 7, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH61257564 WA Primary

Addresses

Primary practice location

402 W 8TH St
Vancouver, WA 98660-3113

Mailing address

402 W 8TH St
Vancouver, WA 98660-3113

Other names 1

  • Zachary Staton Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260227000383 OR Practitioner - Chiropractic 0840771838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

20001 SW Tualatin Valley Hwy
Beaverton, OR 97003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH61257564WAMDChiropractor
6375ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chiro Care LLC Chiropractor CurrentSince Feb 1, 2026 Accepting new patients
National University of Natural Medicine Past Accepting new patients

Locations

20001 SW Tualatin Valley Hwy
Beaverton, OR 97003
Phone (971) 570-7860

20001 SW Tualatin Valley Hwy
Ste 102
Beaverton, OR 97003
Phone (971) 570-7860

20001 SW Tualatin Valley Hwy
#H
Beaverton, OR 97003
Phone (971) 570-7860

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1831843051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 W 8TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W 8TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603113",
            "telephone_number": "360-828-5049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABALAY",
        "first_name": "ZACHARY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61257564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZACHARY",
            "last_name": "STATON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Feb 7, 2022; 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.