Unknown Individual – Chiropractor, NPI 1306817762

Unknown Individual is a healthcare provider. based in Lacey, Washington. specializing in Chiropractor. They hold a License No. CH00002017 (WA). The NPI Number for Unknown Individual is 1306817762

Main info

Organization
Inactive
41 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1306817762
Phone
(360) 923-1102
Address
4313 6TH AVE SE
Deactivation Date
31 January 2024

Doctor Profile

Medical School Name
WESTERN STATES COLLEGE OF CHIROPRACTIC
Secondary Phone
3609231102
Graduation Year
1985 (41 years ago)
PAC ID
7618153388
Professional Enrollment ID
I20110513000035
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience18
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 6th Avenue Southeast, Lacey, Thurston County, Washington, 98516-5364, United States

    STE A

    LACEY, WA 985031023

    Phone: (360) 923-1102

    Fax: (360) 923-4276

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98940Chiropractic manipulative treatment, 1-2 spinal regions17523$0
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Insurance plans in this area (ZIP 98503)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1306817762 in the public NPI dataset.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual's primary classification?
Chiropractor is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Lacey, Washington may find Unknown Individual in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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