Active NPI
Dale Anthony Elmenhurst, DC
- Neurology Chiropractor
- Walla Walla, WA
National Provider Identifier
1962596528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- CH000 02843
- Practice address
- 903 S Howard St
Walla Walla, WA 99362-3326 - Phone
- (509) 525-4160
- Fax
- (509) 522-9921
- NPI assigned
- Oct 3, 2006
- 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 |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | CH000 02843 | WA | Primary |
Addresses
Primary practice location
903 S Howard St
Walla Walla, WA 99362-3326
Mailing address
903 S Howard St
Walla Walla, WA 99362-3326
Phone (509) 525-4160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
903 Howard St
Walla Walla, WA 99362-3326
Phone (509) 525-4160
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH000 02843 | WA | MD | Neurology Chiropractor |
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 and National Provider Directory roles.
-
- Chiropractor
- Walla Walla, WA
- NPI 1962684803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298851200000",
"number": "1962596528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 S HOWARD ST",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993623326",
"telephone_number": "509-525-4160",
"fax_number": "509-522-9921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 S HOWARD ST",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993623326",
"telephone_number": "509-525-4160",
"fax_number": "509-522-9921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELMENHURST",
"first_name": "DALE",
"middle_name": "ANTHONY",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2011-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "WA",
"license": "CH000 02843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walla Walla, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; 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.