Active NPI
William Carlton Dearinger Jr., D.C.
- Chiropractor
- Yakima, WA
National Provider Identifier
1902926298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00003208
- Practice address
- 2508 W Nob Hill Blvd
Yakima, WA 98902-5104 - Phone
- (509) 248-5555
- Fax
- (509) 469-4938
- NPI assigned
- Mar 30, 2007
- Last updated
- Jul 8, 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 | CH00003208 | WA | Primary |
Addresses
Primary practice location
2508 W Nob Hill Blvd
Yakima, WA 98902-5104
Mailing address
2508 W Nob Hill Blvd
Yakima, WA 98902-5104
Phone (509) 248-5555
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13908 | Other | WA | GROUP HEALTH |
| 8922905 | Other | WA | CRIME VICTIMS |
| 105530 | Other | WA | LABOR AND INDUSTRIES |
| 14545 | Other | WA | AWHN |
| DEO173 | Other | WA | REGENCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120507000149 | WA | Practitioner - Chiropractic | 0648432765 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH00001572 | WA | MD | Chiropractor |
| CH00003208 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunnyside Chiropractic Centre P S | Chiropractor | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Sunnyside, WA
- NPI 1982866604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902926298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2508 W NOB HILL BLVD",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989025104",
"telephone_number": "509-248-5555",
"fax_number": "509-469-4938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2508 W NOB HILL BLVD",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989025104",
"telephone_number": "509-248-5555",
"fax_number": "509-469-4938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEARINGER",
"first_name": "WILLIAM",
"middle_name": "CARLTON",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00003208",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH",
"identifier": "13908",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRIME VICTIMS",
"identifier": "8922905",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "105530",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AWHN",
"identifier": "14545",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "DEO173",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yakima, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.