NPIMap

Organization Active NPI

Larry a Bain DC PC

  • Chiropractor
  • Vancouver, WA
National Provider Identifier
1992912596
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00000783 Issued in WA
Legal business name
LARRY A BAIN DC PC
Practice address
7612 NE Hazel Dell Ave
Vancouver, WA 98665-8224
Phone
(360) 694-1575
Fax
(360) 696-4427
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Larry A BainNPI 1528034931
Title
DC
Phone
(360) 694-1575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00000783 WA Primary

Addresses

Primary practice location

7612 NE Hazel Dell Ave
Vancouver, WA 98665-8224

Mailing address

7612 NE Hazel Dell Ave
Vancouver, WA 98665-8224
Phone (360) 694-1575

Other identifiers 3

IdentifierTypeStateIssuer
17047OtherOROREGON L & I
75953OtherWAWA L & I
2041507OtherWAWASHINGTON DSHS

National Provider Directory

National Provider Directory

Locations

7612 NE Hazel Dell Ave
Vancouver, WA 98665
Phone (360) 694-1575

Practitioners & affiliated clinicians

Practitioners 2

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": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992912596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7612 NE HAZEL DELL AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658224",
            "telephone_number": "360-694-1575",
            "fax_number": "360-696-4427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7612 NE HAZEL DELL AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658224",
            "telephone_number": "360-694-1575",
            "fax_number": "360-696-4427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY A BAIN DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAIN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DC",
        "authorized_official_telephone_number": "360-694-1575",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00000783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON L & I",
            "identifier": "17047",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA L & I",
            "identifier": "75953",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON DSHS",
            "identifier": "2041507",
            "state": "WA"
        }
    ],
    "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 Aug 22, 2020; 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.