CANYON CROSSING CHIROPRACTIC PS


Address: 5610 176th St E, D105, Puyallup, WA 98375-9305
Phone: 8472080973

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 305R00000X Preferred Provider Organization CH 60520744 WA Managed Care Organizations

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations CANYON CROSSING CHIROPRACTIC PS 5610 176th St E Ste D105, Puyallup, WA 98375

Office Location

Street Address 5610 176TH ST E
D105
City PUYALLUP
State WA
Zip Code 98375-9305

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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
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Taxonomy Information

Taxonomy Code 305R00000X
Grouping Managed Care Organizations
Classification Preferred Provider Organization

Taxonomy Definition

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

Providers in the same taxonomy and city

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

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NPI Name Taxonomy Address Enumeration
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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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Competitor

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City PUYALLUP
Zip Code 98375

Improve Information

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Dataset Information

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.

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