COLLEGE PLACE CHIROPRACTIC (NPI# 1417146606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417146606 |
| Entity Type | Organization |
| Organization Name | COLLEGE PLACE CHIROPRACTIC |
| Practice Address |
716 S College Ave College Place WA 99324-1519 |
| Practice Telephone | 5095257661 |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2008-04-01 |
| Authorized Official Name | DR. DEREK REX HAYDEN (CHIROPRACTOR) |
| Authorized Official Telephone | 5095257661 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH00034208 | WA | Chiropractic Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | COLLEGE PLACE CHIROPRACTIC PC | 716 S College Ave, College Place, WA 99324 |
| Street Address |
716 S COLLEGE AVE |
| City | COLLEGE PLACE |
| State | WA |
| Zip Code | 99324-1519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083257059 | Julee J Smith | Massage Therapist | 716 S College Ave, College Place, WA 99324-1519 | 2019-10-23 |
| 1881192391 | Rebecca Deanne Mullen | Massage Therapist | 716 S College Ave, College Place, WA 99324-1519 | 2018-01-30 |
| 1255460242 | Derek Rex Hayden | Chiropractor | 716 S College Ave, College Place, WA 99324 | 2007-03-05 |
| 1336237155 | Kimberly Ann Cole | Physical Therapist | 716 S College Ave, College Place, WA 99324-1519 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851885107 | Comprehensive Healthcare | Community Based Residential Treatment Facility, Mental Illness | 1250 Se Commercial Dr, College Place, WA 99324 | 2018-06-20 |
| 1477051415 | Carrie Jean White | Counselor | 56 N College Ave #2a, College Place, WA 99324 | 2018-01-24 |
| 1952824658 | Ashley Bergmann | Social Worker | 1928 George Washington Way, Apt L1, Richland, WA 99324 | 2017-07-25 |
| 1376081224 | Ariel Anderson | Registered Nurse | 1755 College Ave, College Place, WA 99324 | 2017-02-10 |
| 1770926644 | Richard Kearns | Registered Nurse | 800 Se Sentry Dr, College Place, WA 99324 | 2013-04-10 |
| 1619259009 | Debra Jean Maxted | Physical Therapy Assistant | 420 Se Myra Road, College Place, WA 99324 | 2011-09-13 |
| 1740470533 | Danny R. Croft | Denturist | 1298 Se 12th Street, College Place, WA 99324 | 2007-07-27 |
| 1316059983 | Mary Ellen Hustead | Social Worker | 325 Sprucewood Place, College Place, WA 99324 | 2006-08-31 |
| 1639158264 | Elizabeth Ann Wall | Nurse Practitioner | 722 South College Avenue, College Place, WA 99324 | 2006-01-12 |
| 1013494640 | Amber Hopkins | Case Manager/Care Coordinator | 1250 Se Commercial Dr, College Place, WA 99324 | 2018-07-26 |
| Find all providers in zip 99324 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255460242 | Derek Rex Hayden | Chiropractor | 716 S College Ave, College Place, WA 99324 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003416538 | Robert Martinez Molato | Chiropractor | 5106 Donnelly Dr Se, Olympia, WA 98501-5012 | 2020-10-26 |
| 1134726417 | Logan Chavez | Chiropractor | 1000 E Harvest Loop Apt 901, Ellensburg, WA 98926-5423 | 2020-10-08 |
| 1467059212 | Anderson Chiropractic Corporation, P.s. | Chiropractor | 6720 Regents Blvd Ste 108, University Place, WA 98466-5400 | 2020-10-05 |
| 1063019966 | Madison Allen | Chiropractor | 12339 Clubhouse Ln, Mukilteo, WA 98275-5577 | 2020-10-04 |
| 1528675527 | Joseph Gonzalez | Chiropractor | 1218 Ne 88th St Ste 108, Vancouver, WA 98665-9696 | 2020-09-24 |
| 1124633466 | Nolan Craig Ethridge | Chiropractor | 11515 Burnham Dr # 101, Gig Harbor, WA 98332-8543 | 2020-09-14 |
| 1235743402 | Caleb Mcinnis | Chiropractor | 18336 Aurora Ave N Ste 111, Shoreline, WA 98133-4526 | 2020-09-03 |
| 1174135925 | Brent Duncan | Chiropractor | 4813 Sw Walker St, Seattle, WA 98116-2149 | 2020-08-21 |
| 1336750900 | Hanchuan Ma | Chiropractor | 4744 41st Ave Sw Apt 415, Seattle, WA 98116-4568 | 2020-08-16 |
| 1285244079 | Wellness Group Pllc | Chiropractor | 2007 152nd Ave Ne Ste W, Redmond, WA 98052-5521 | 2020-08-06 |
| Find all providers with the same taxonomy | ||||
| City | COLLEGE PLACE |
| Zip Code | 99324 |
Please comment or provide details below to improve the information on COLLEGE PLACE CHIROPRACTIC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.