Active NPI
Bruce M Laird, DC
- Chiropractor
- Wenatchee, WA
National Provider Identifier
1992707715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00001499
- Practice address
- 714 N. Chelan Street
#A
Wenatchee, WA 98801 - Phone
- (509) 663-0055
- Fax
- (509) 664-8975
- NPI assigned
- Aug 11, 2005
- 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 | CH00001499 | WA | Primary |
Addresses
Primary practice location
714 N. Chelan Street
#A
Wenatchee, WA 98801
Mailing address
714 N. Chelan Street
#A
Wenatchee, WA 98801
Phone (509) 663-0055
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0149153 | Other | WA | LABOR & INDUSTRIES |
| 350052174 | Other | WA | RAILROAD MEDICARE |
| GAB21942 | Other | WA | MEDICARE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH00001499 | WA | MD | Chiropractor |
| 1499 | WA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laird Chiropractic P.S. | Chiropractor | Past | Accepting new patients |
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
- Wenatchee, WA
- NPI 1386861003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311292800000",
"number": "1992707715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "714 N. CHELAN STREET",
"address_2": "#A",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "98801",
"telephone_number": "509-663-0055",
"fax_number": "509-664-8975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714 N. CHELAN STREET",
"address_2": "#A",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "98801",
"telephone_number": "509-663-0055",
"fax_number": "509-664-8975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAIRD",
"first_name": "BRUCE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-11",
"last_updated": "2011-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00001499",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "0149153",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "350052174",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "GAB21942",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wenatchee, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.