CANYON CROSSING CHIROPRACTIC PS (NPI# 1659741858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659741858 |
Entity Type | Organization |
Organization Name | CANYON CROSSING CHIROPRACTIC PS |
Practice Address |
5610 176th St E D105 Puyallup WA 98375-9305 |
Practice Telephone | 8472080973 |
Mailing Telephone | 8472080973 |
Enumeration Date | 2015-09-30 |
Last Update Date | 2019-05-13 |
Authorized Official Name | DR. JACOB BROWN (OWNER) |
Authorized Official Telephone | 8472080973 |
Authorized Official Credential | D.C |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 305R00000X | Preferred Provider Organization | CH 60520744 | WA | Managed Care Organizations |
Entity Type | Entity Name | Entity Address |
---|---|---|
Washington State Corporations | CANYON CROSSING CHIROPRACTIC PS | 5610 176th St E Ste D105, Puyallup, WA 98375 |
Street Address |
5610 176TH ST E D105 |
City | PUYALLUP |
State | WA |
Zip Code | 98375-9305 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225673817 | Cheryl Dann | Registered Nurse | 7224 Pacific Highway E, Milton, WA 98375 | 2019-11-07 |
1326554601 | Jasmanpreet Kaur Sidhu | Nurse's Aide | 17003 83rd Ave Cte, Puyallup, WA 98375 | 2017-12-21 |
1295257137 | Rafael Martin Morones IIi | Registered Nurse | 17802 87th Ave E, Puyallup, WA 98375 | 2017-07-12 |
1467990556 | Tessa D Parker | Massage Therapist | 17528 Meridian E Suite 207, Puyallup, WA 98375 | 2017-02-08 |
1144674326 | June Park | Social Worker | 9414 185th Street Ct E, Puyallup, WA 98375 | 2016-04-14 |
1417384348 | Washington Dental Corporation, PC | Dentist | 16810 Meridian East Suite J107, Puyallup, WA 98375 | 2013-10-10 |
1861825663 | L&t Chinese Medicine LLC | Acupuncturist | 16515 Meridian E., Ste. 200b, Puyallup, WA 98375 | 2013-08-15 |
1508110081 | Jennifer Gillings | Speech-Language Pathologist | 17418 74th Ave E, Puyallup, WA 98375 | 2012-11-05 |
1275887267 | Andrew Nelson Smith | Pharmacist | 14308 Meridian Ave E., Puyallup, WA 98375 | 2012-10-30 |
1538440714 | Zorawar Singh | Dentist | 16810 Meridian E Suite J107, Puyallup, CA 98375 | 2011-09-01 |
Find all providers in zip 98375 |
Taxonomy Code | 305R00000X |
Grouping | Managed Care Organizations |
Classification | Preferred Provider Organization |
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710364880 | The Massage and Bodywork Company LLC | Preferred Provider Organization | 205 15th Ave Sw, Suite C, Puyallup, WA 98371-7873 | 2015-04-28 |
1619361847 | Jane C Hayward Mba Psyd | Preferred Provider Organization | 1002 39th Ave Sw, Suite 202, Puyallup, WA 98373-3805 | 2015-03-25 |
1386829406 | Cecil E Snodgrass M.d. Inc Ps | Preferred Provider Organization | 1409 2nd St Se, Puyallup, WA 98372-3706 | 2008-01-08 |
1770606089 | Jason Jaehoon Chung | Preferred Provider Organization | 1201 39th Ave Sw, Puyallup, WA 98373-3803 | 2007-04-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225529407 | Mitchell International, Inc. | Preferred Provider Organization | 1301 5th Ave Ste 2900, Seattle, WA 98101-2644 | 2018-05-23 |
1629517388 | Shera Looney | Preferred Provider Organization | 500 5th Ave W, 502, Seattle, WA 98119-3957 | 2017-02-14 |
1538615158 | J.r. Craig Webster D.d.s. | Preferred Provider Organization | 204 West 1st. Street, Omak, WA 98841 | 2016-09-01 |
1306390109 | Sabrina Mandich, Dds, LLC | Preferred Provider Organization | 207 Sw 156th St Ste 1, Burien, WA 98166-2561 | 2016-08-09 |
1083168272 | Marnie L. Collins Dds | Preferred Provider Organization | 507 N Sullivan Rd Ste 2, Spokane Valley, WA 99037-8576 | 2016-08-05 |
1720431414 | David J Olson Dds Pllc | Preferred Provider Organization | 509 Olive Way Ste 1238, Seattle, WA 98101-1745 | 2016-07-18 |
1932558780 | Cheng Im Shao Chue Gomez Pllc | Preferred Provider Organization | 22035 Se Wax Rd, Ste 5, Maple Valley, WA 98038-8543 | 2016-06-11 |
1336519982 | Dr. James Hood | Preferred Provider Organization | 2510 N Pines Rd Ste 206, Spokane Valley, WA 99206-7636 | 2015-09-25 |
1134504145 | Body Kneads Massage Therapy | Preferred Provider Organization | 445 Cedar Blvd., Suite C, Othello, WA 99344 | 2015-07-21 |
1194107847 | Lotus Acupuncture & Fertility Clinic | Preferred Provider Organization | 15593 Se Mill Plain Blvd, Vancouver, WA 98684-8954 | 2015-06-18 |
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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.