Active NPI
Derron McLaury, D.C.
- Rehabilitation Chiropractor
- Vancouver, WA
National Provider Identifier
1992500714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- CH61406459
- Practice address
- 14511 NE 10TH Ave Ste F
Vancouver, WA 98685-1386 - Phone
- (253) 352-4280
- NPI assigned
- Feb 17, 2025
- 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 |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | CH61406459 | WA | Primary |
Addresses
Primary practice location
14511 NE 10TH Ave Ste F
Vancouver, WA 98685-1386
Mailing address
622 SE 130TH CT
Vancouver, WA 98683-6034
Phone (734) 347-1976
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 |
|---|---|---|---|
| CH61406459 | WA | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739750400000",
"number": "1992500714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "622 SE 130TH CT",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986836034",
"telephone_number": "734-347-1976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14511 NE 10TH AVE STE F",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986851386",
"telephone_number": "253-352-4280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLAURY",
"first_name": "DERRON",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-02-17",
"last_updated": "2025-02-17",
"certification_date": "2025-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "WA",
"license": "CH61406459",
"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 Feb 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.