Individual provider Active NPI

Dale Anthony Elmenhurst, DC

  • Neurology Chiropractor
  • Walla Walla, WA
National Provider Identifier
1962596528
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
CH000 02843 Issued in WA
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

Updated by the provider on Feb 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20111116000087 WA Practitioner - Chiropractic 3870774755 Reassigns benefits to 1 organization

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
George Elmenhurst DC PSGroup PAC ID 7719875137, 4 clinicians

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

LicenseStateTypeSpecialty
CH000 02843WAMDNeurology 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.

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.

Verify at the official NPI Registry.