Organization Active NPI

Bounce Back Chiropractic and Wellness Center

  • Chiropractor
  • Vancouver, WA
National Provider Identifier
1952580201
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0007491 Issued in WA
Legal business name
BOUNCE BACK CHIROPRACTIC AND WELLNESS CENTER
Practice address
6409 E Mill Plain Blvd
Vancouver, WA 98661-7454
Phone
(360) 694-1665
NPI assigned
Nov 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Authorized official

Name
Dr. Geoffrey Anson Allen, D.C.
Title
Doctor
Phone
(360) 694-1665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH0007491 WA Primary

Addresses

Primary practice location

6409 E Mill Plain Blvd
Vancouver, WA 98661-7454

Mailing address

6409 E Mill Plain Blvd
Vancouver, WA 98661-7454
Phone (360) 694-1665

National Provider Directory

National Provider Directory

Locations

6409 E Mill Plain Blvd
Vancouver, WA 98661
Phone (360) 693-2597

NPI Registry JSON

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1952580201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6409 E MILL PLAIN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986617454",
            "telephone_number": "360-694-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6409 E MILL PLAIN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986617454",
            "telephone_number": "360-694-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUNCE BACK CHIROPRACTIC AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "ANSON",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "360-694-1665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH0007491",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.