CAMACHO CHIROPRACTIC AND SPORTS MEDICINE LLC (NPI# 1013488360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013488360 |
| Entity Type | Organization |
| Organization Name | CAMACHO CHIROPRACTIC AND SPORTS MEDICINE LLC |
| Practice Address |
105 E 2nd St Grandview WA 98930-1345 |
| Practice Telephone | 5093055163 |
| Mailing Telephone | 5094029020 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2019-03-07 |
| Authorized Official Name | JUAN RAMON CAMACHO (CHIROPRACTOR) |
| Authorized Official Telephone | 5094029020 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | CAMACHO CHIROPRACTIC AND SPORTS MEDICINE LLC | 403 N Euclid St, Grandview, WA 98930-9407 |
| Street Address |
105 E 2ND ST |
| City | GRANDVIEW |
| State | WA |
| Zip Code | 98930-1345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164537510 | Troy A Binfet | Chiropractor | 105 E 2nd St, Grandview, WA 98930-1345 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003017476 | Fred C. Boboth O.d., P.s. | Optometrist | 403 N Euclid St, Grandview, WA 98930 | 2007-05-31 |
| 1639391253 | R. Scott Williams, D.d.s., P.s. | Dentist | 201 Euclid Street, Grandview, WA 98930 | 2007-05-03 |
| 1235224684 | Grandview School District | Local Education Agency (LEA) | 913 W 2nd Street, Grandview, WA 98930 | 2006-10-03 |
| 1063527661 | Jonathan F Volz Dds Pllc | Dentist | 310 E 2nd St, Grandview, WA 98930 | 2006-08-21 |
| 1790347623 | Rebecca Warnick | Registered Nurse | 1003 Wallace Way, Grandview, WA 98930 | 2019-07-01 |
| 1376026237 | Prosser Public Hospital District of Benton County | Clinic/Center | 1003 Wallace Way, Grandview, WA 98930 | 2018-09-07 |
| 1114414216 | Laboratory Corporation of America | Clinical Medical Laboratory | 240 Division St, Grandview, WA 98930 | 2018-04-16 |
| 1588151773 | Laboratory Corporation of America | Clinical Medical Laboratory | 1000 Wallace Way, Grandview, WA 98930 | 2018-04-13 |
| 1730686544 | Cindy Sun | Student in an Organized Health Care Education/Training Program | 1000 Wallace Way, Grandview, WA 98930 | 2018-04-09 |
| 1043711252 | Ruby Medina | Social Worker | 208 N. Euclid, Grandview, WA 98930 | 2018-02-22 |
| Find all providers in zip 98930 | ||||
| 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 |
|---|---|---|---|---|
| 1588129431 | Taylor J Anderson | Chiropractor | 11902 Blue Ridge Ext Ste O, Grandview, MO 64030-1199 | 2019-02-05 |
| 1285037689 | Kyunghwan An | Chiropractor | 12121 Blue Ridge Blvd, Suite O, Grandview, MO 64030-1723 | 2014-09-30 |
| 1558495093 | Jeremy James Anderson | Chiropractor | 211 Euclid St, Grandview, WA 98930-1160 | 2007-03-15 |
| 1679501142 | Mark J Calandro | Chiropractor | 12710 S Us Highway 71, Grandview, MO 64030-2522 | 2006-06-30 |
| 1144851296 | Edgar Candido | Chiropractor | 403 N Euclid St, Grandview, WA 98930-9407 | 2020-01-28 |
| 1588103972 | Grandview Chiropractic & Acupuncture Clinic LLC | Chiropractor | 12121 Blue Ridge Blvd, Suite O, Grandview, MO 64030-6401 | 2017-02-17 |
| 1831560523 | Corynne Nixon | Chiropractor | 11902 Blue Ridge Ext, Grandview, MO 64030-1100 | 2015-10-07 |
| 1326360801 | Acosta Chiropractic PC | Chiropractor | 1020 Main St, Grandview, MO 64030-2456 | 2010-02-24 |
| 1932390622 | Joshua T Acosta | Chiropractor | 1020 Main St, Grandview, MO 64030-2456 | 2007-08-07 |
| 1740406594 | Joseph Patrick Kappes | Chiropractor | 13010 White Ave, Suite G, Grandview, MO 64030-2667 | 2007-04-18 |
| Find all providers in GRANDVIEW | ||||
Please comment or provide details below to improve the information on CAMACHO CHIROPRACTIC AND SPORTS MEDICINE LLC.
| 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.