DR. RODOLFO ANTONIO DABALOS (NPI# 1255381372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255381372 |
| Entity Type | Individual |
| Full Name | DR. RODOLFO ANTONIO DABALOS |
| Credential | D.C. |
| Practice Address |
361 E Main St Othello WA 99344 |
| Mailing Address |
361 E. Main St Othello WA 99344 |
| Practice Telephone | 5094883346 |
| Practice Fax Number | 5094883347 |
| Mailing Telephone | 5094883346 |
| Mailing Fax Number | 5094883347 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2019-11-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH00001298 | WA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2029502 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 830 E Broadway Ave, Moses Lake, WA 988375932 | 5097669966 | 5097660330 |
| Street Address |
361 E MAIN ST |
| City | OTHELLO |
| State | WA |
| Zip Code | 99344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437649498 | Derrick J Perkes | Massage Therapist | 361 E Main St, Othello, WA 99344-1055 | 2018-05-15 |
| 1023550589 | Egmont Saldivar | Massage Therapist | 361 E Main St, Othello, WA 99344-1055 | 2016-11-14 |
| 1649678129 | Anadelia Medina Galaviz | Massage Therapist | 361 E Main St, Othello, WA 99344-1055 | 2014-12-15 |
| 1306093299 | Dahli A. Saucedo | Massage Therapist | 361 E Main St, Othello, WA 99344-1055 | 2008-08-21 |
| 1154599454 | Simmons Chiropractic, P.C. | Massage Therapist | 361 E Main St, Othello, WA 99344-1055 | 2008-02-20 |
| 1003002403 | Tammy A Lopez | Massage Therapist | 361 E Main St, Othello, WA 99344-1055 | 2007-09-19 |
| 1659401289 | Sheila Dabalos Simmons | Chiropractor | 361 E Main St, Othello, WA 99344-1055 | 2007-03-06 |
| 1154403707 | Robert M. Simmons | Chiropractor | 361 E Main St, Othello, WA 99344-1055 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073031613 | Robert Lee Mccrorie | Physician Assistant | Cbha 1515 East Columbia Street, Othello, WA 99344 | 2017-09-04 |
| 1134504145 | Body Kneads Massage Therapy | Preferred Provider Organization | 445 Cedar Blvd., Suite C, Othello, WA 99344 | 2015-07-21 |
| 1457756421 | Weeping Ridge Estate Adult Family Home Inc | Custodial Care Facility | 2455 W. Bench Rd, Othello, WA 99344 | 2014-11-03 |
| 1275938243 | Weeping Ridge West, Inc. | Custodial Care Facility | 2455 West Bench Rd, Othello, WA 99344 | 2014-11-03 |
| 1437572617 | Sterling Gerber | Physical Therapist | 315 Nth 14th Ave., Othello, WA 99344 | 2014-01-24 |
| 1346688330 | Amaris Suarez | Counselor | 425 E. Main Street, Suite 600, Othello, WA 99344 | 2013-06-12 |
| 1669679387 | Jessica Brooks Smith | Pharmacist | 140 E. Main St, Othello, WA 99344 | 2007-06-27 |
| 1174688030 | Percy N Erdmann | General Practice | 1207 E Main, Othello, WA 99344 | 2006-12-22 |
| 1962581405 | Ian Fuger | Dentist | 140 E Main Street, Othello, WA 99344 | 2006-11-03 |
| 1194819540 | Richard A Maywald | Counselor | 425 E Main Suite 600, Othello, WA 99344 | 2006-10-02 |
| Find all providers in zip 99344 | ||||
| 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 |
|---|---|---|---|---|
| 1689747883 | Roger Ryan Coleman | Chiropractor | 1344 E Main Street, Othello, WA 99344-1559 | 2006-11-16 |
| 1700974383 | Othello Chiropractic Ps | Chiropractor | 225 E. Main St., Othello, WA 99344-0477 | 2006-10-10 |
| 1659401289 | Sheila Dabalos Simmons | Chiropractor | 361 E Main St, Othello, WA 99344-1055 | 2007-03-06 |
| 1154403707 | Robert M. Simmons | Chiropractor | 361 E Main St, Othello, WA 99344-1055 | 2006-10-20 |
| 1699730507 | Grant Paul Gilbert | Chiropractor | 225 E Main St, Othello, WA 99344-0477 | 2006-04-20 |
| 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 | ||||
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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.