Active NPI
Richard Gordon Ward, D.C.
- Chiropractor
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH34275
- Practice address
- 1001 Broadway St Unit 200
Vancouver, WA 98660-3296 - Phone
- (360) 828-1574
- NPI assigned
- Jan 30, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH34275 | WA | Primary |
Addresses
Primary practice location
1001 Broadway St Unit 200
Vancouver, WA 98660-3296
Mailing address
2625 Butterfield Rd Ste 301N
Oak Brook, IL 60523-1266
Phone (630) 468-1824
Other practice location 1
11803 101st Ave E
Suite 100
Puyallup, WA 98373-3473
Phone (253) 435-1285
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0173766 | Other | WA | LABOR AND INDUSTRIES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH34275 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael B. Pettet, DC, PS | Chiropractor | Current | Accepting new patients |
| Gig Harbor Wellness, PS | Current | Accepting new patients | |
| Opdahl Chiropractic Office Inc. | Chiropractor | Current | Accepting new patients |
| Bridge Chiropractic 5 LLC | Chiropractor | Current | Accepting new patients |
Locations
105 N Parkway Ave
Battle Ground, WA 98604
Phone (360) 666-6001
105 N Parkway Ave
Ste 101
Battle Ground, WA 98604
Phone (360) 666-6001
11430 51st Ave
Ste 101A
Gig Harbor, WA 98332
Phone (253) 857-6500
1001 Broadway St
Unit 200
Vancouver, WA 98660
Phone (360) 558-3365
Organizations & group practices 4
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.
-
dba Gig Harbor Chiropractic and Massage
- Rehabilitation Chiropractor
- Gig Harbor, WA
- NPI 1932316312
-
- Chiropractor
- Battle Ground, WA
- NPI 1134315781
-
- Chiropractor
- Vancouver, WA
- NPI 1669856415
-
dba Back and Neck Care Chiropractic
- Chiropractor
- Vancouver, WA
- NPI 1609086784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624233600000",
"number": "1841337979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 BUTTERFIELD RD STE 301N",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231266",
"telephone_number": "630-468-1824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 BROADWAY ST UNIT 200",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986603296",
"telephone_number": "360-828-1574"
}
],
"practiceLocations": [
{
"address_1": "11803 101st Ave E",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Puyallup",
"state": "WA",
"postal_code": "983733473",
"country_code": "US",
"telephone_number": "253-435-1285",
"fax_number": "253-445-8632",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WARD",
"first_name": "RICHARD",
"middle_name": "GORDON",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2021-06-21",
"certification_date": "2021-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH34275",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "0173766",
"state": "WA"
}
],
"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 Jun 21, 2021; 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.