Active NPI
Joseph Dispenza, D.C.
- Chiropractor
- Yelm, WA
National Provider Identifier
1932102274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 025202CH00002150
- Practice address
- 503 1St St S
Yelm, WA 98597-7634 - Phone
- (360) 400-3151
- Fax
- (360) 400-3150
- NPI assigned
- May 31, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 | 025202CH00002150 | WA | Primary |
Addresses
Primary practice location
503 1St St S
Yelm, WA 98597-7634
Mailing address
PO Box 656
Rainier, WA 98576-0656
Phone (360) 400-3151
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00286072 | Other | WA | RAILROAD MEDICARE NUMBER |
| 330154719 | Other | WA | FEDERAL CLINC TAX ID |
Other names 1
- Dr. Joe Dispenza
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
| License | State | Type | Specialty |
|---|---|---|---|
| 025202CH00002150 | WA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397606400000",
"number": "1932102274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 656",
"city": "RAINIER",
"state": "WA",
"postal_code": "985760656",
"telephone_number": "360-400-3151",
"fax_number": "360-400-3150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 1ST ST S",
"city": "YELM",
"state": "WA",
"postal_code": "985977634",
"telephone_number": "360-400-3151",
"fax_number": "360-400-3150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DISPENZA",
"first_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2014-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "025202CH00002150",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE NUMBER",
"identifier": "P00286072",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL CLINC TAX ID",
"identifier": "330154719",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JOE",
"last_name": "DISPENZA",
"prefix": "DR.",
"credential": "D.C.",
"code": "5",
"type": "Other Name"
}
]
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- Wesley Douglas, RPH
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- Sharon Drummond-Melancon, APRN, DNP, FNP-BC,
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.