Individual provider Active NPI

John Robert Champion, D.C.

  • Chiropractor
  • Chewelah, WA
National Provider Identifier
1942309687
Registry record updated Dec 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00033990 Issued in WA
Practice address
103 E Main Ave
Chewelah, WA 99109-8960
Phone
(509) 935-2225
Fax
(509) 935-2273
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00033990 WA Primary

Addresses

Primary practice location

103 E Main Ave
Chewelah, WA 99109-8960

Mailing address

PO Box 203
Valley, WA 99181-0203
Phone (509) 935-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040526001666 WA Practitioner - Chiropractic 5496736332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

103 E Main Ave
Chewelah, WA 99109-8960
Phone (509) 935-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH00033990WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Champion Family Chiropractic, Chiropractor CurrentSince Jan 1, 2007 Accepting new patients
Macdonald Chiropractic LLC Chiropractor PastSince Jan 13, 2015 Accepting new patients

Locations

103 E Main Ave
Chewelah, WA 99109
Phone (509) 935-2225

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291334400000",
    "number": "1942309687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 203",
            "city": "VALLEY",
            "state": "WA",
            "postal_code": "991810203",
            "telephone_number": "509-935-2225",
            "fax_number": "509-935-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E MAIN AVE",
            "city": "CHEWELAH",
            "state": "WA",
            "postal_code": "991098960",
            "telephone_number": "509-935-2225",
            "fax_number": "509-935-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPION",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2010-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00033990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chewelah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; 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.