NPIMap

Organization Active NPI

East Vancouver Chiropractic & Massage Therapy

  • Chiropractor
  • Vancouver, WA
National Provider Identifier
1982854592
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00033852 Issued in WA
Legal business name
EAST VANCOUVER CHIROPRACTIC & MASSAGE THERAPY
Practice address
13025 NE Fourth Plain
Suite 102
Vancouver, WA 98682
Phone
(360) 718-8240
Fax
(360) 718-8241
NPI assigned
Sep 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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

Authorized official

Name
Dr. Nicholas Peck, D.C.
Title
Owner/Ceo
Phone
(360) 718-8240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH00033852 WA Primary

Addresses

Primary practice location

13025 NE Fourth Plain
Suite 102
Vancouver, WA 98682

Mailing address

13025 NE Fourth Plain Blvd.
Suite 102
Vancouver, WA 98682
Phone (360) 718-8240

Other names 1

  • East Vancouver Chiropractic, Inc Former legal business name

National Provider Directory

National Provider Directory

Locations

13025 NE Fourth Plain Blvd
Ste 102
Vancouver, WA 98682
Phone (360) 253-4285

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456185600000",
    "number": "1982854592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13025 NE FOURTH PLAIN BLVD.",
            "address_2": "SUITE 102",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98682",
            "telephone_number": "360-718-8240",
            "fax_number": "360-718-8241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13025 NE FOURTH PLAIN",
            "address_2": "SUITE 102",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98682",
            "telephone_number": "360-718-8240",
            "fax_number": "360-718-8241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST VANCOUVER CHIROPRACTIC & MASSAGE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-19",
        "last_updated": "2016-02-23",
        "status": "A",
        "authorized_official_last_name": "PECK",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "360-718-8240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00033852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Vancouver Chiropractic, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 23, 2016; 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.