Active NPI
John Thomas Wall, D.C.
- Chiropractor
- Chelan, WA
National Provider Identifier
1982725628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2520
- Practice address
- 218 E. Woodin Avenue
Chelan, WA 98816-1180 - Phone
- (509) 682-3508
- Fax
- (509) 682-9218
- NPI assigned
- Apr 2, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 2520 | WA | Primary |
Addresses
Primary practice location
218 E. Woodin Avenue
Chelan, WA 98816-1180
Mailing address
PO Box 1180
Chelan, WA 98816-1180
Phone (509) 682-3508
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100629000872 | WA | Practitioner - Chiropractic | 9931230364 | Practice locations: Chelan, WA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1990
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
218 E Woodin Ave
Chelan, WA 99816-9196
Phone (509) 682-3508
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2520 | WA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982725628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1180",
"city": "CHELAN",
"state": "WA",
"postal_code": "988161180",
"telephone_number": "509-682-3508",
"fax_number": "509-682-9218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 E. WOODIN AVENUE",
"city": "CHELAN",
"state": "WA",
"postal_code": "988161180",
"telephone_number": "509-682-3508",
"fax_number": "509-682-9218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALL",
"first_name": "JOHN",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "2520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chelan, WA
- Valley Spinal Care LLC (Valley Spinal Care)
- Alexander N Vanderholm
- Vision Source of Wenatchee, PS (Vision Source of Chelan)
- Heather Louise Vogel, RN
- Wal-Mart Stores, Inc. (Wal-Mart Vision Center 30-3754)
- Walmart Inc. (Walmart Pharmacy 10-3754)
- Charles J Waszkewitz, M.D.
- Jeffery Alan Weathersby, LMP
- Wellness Garden
- Marshall Cy Whitener, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.