Active NPI
Theodore Pagel
- Chiropractor
- Vancouver, WA
National Provider Identifier
1962053512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH60970468
- Practice address
- 1307 NE 78TH St Ste B-13
Vancouver, WA 98665-9672 - Phone
- (360) 574-5136
- NPI assigned
- Sep 25, 2019
- 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 | CH60970468 | WA | Primary |
Addresses
Primary practice location
1307 NE 78TH St Ste B-13
Vancouver, WA 98665-9672
Mailing address
1307 NE 78TH St Ste B-13
Vancouver, WA 98665-9672
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH60970468 | WA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569369600000",
"number": "1962053512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1307 NE 78TH ST STE B-13",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986659672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1307 NE 78TH ST STE B-13",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986659672",
"telephone_number": "360-574-5136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGEL",
"first_name": "THEODORE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-25",
"last_updated": "2019-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH60970468",
"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 Sep 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.