Individual provider Active NPI

Joseph A Urquia, DC

  • Chiropractor
  • Port Angeles, WA
National Provider Identifier
1861559403
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00001282 Issued in WA
Practice address
1111 E Front St
Port Angeles, WA 98362-4307
Phone
(360) 452-6888
Fax
(360) 457-3550
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 CH00001282 WA Primary

Addresses

Primary practice location

1111 E Front St
Port Angeles, WA 98362-4307

Mailing address

1111 E Front St
Port Angeles, WA 98362-4307
Phone (360) 452-6888

Other identifiers 3

IdentifierTypeStateIssuer
2010742MedicaidWA
83407OtherWALABOR
CH00001282OtherWAIND LICENSE #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120120000650 WA Practitioner - Chiropractic 1557538261 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 1976
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1111 E Front St
Port Angeles, WA 98362-4307
Phone (360) 452-6888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph a Urquia PS Chiropractor CurrentSince Apr 9, 2001 Accepting new patients

Locations

1111 E Front St
Port Angeles, WA 98362
Phone (360) 452-3017

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.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861559403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 E FRONT ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983624307",
            "telephone_number": "360-452-6888",
            "fax_number": "360-457-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E FRONT ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983624307",
            "telephone_number": "360-452-6888",
            "fax_number": "360-457-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URQUIA",
        "first_name": "JOSEPH",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2010742",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR",
            "identifier": "83407",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND LICENSE #",
            "identifier": "CH00001282",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Angeles, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.