CANYON CROSSING CHIROPRACTIC PS – Preferred Provider Organization, NPI 1659741858

CANYON CROSSING CHIROPRACTIC PS is a healthcare provider. based in Puyallup, Washington. specializing in Preferred Provider Organization. The organization holds a License No. CH 60520744 (WA). The NPI Number for CANYON CROSSING CHIROPRACTIC PS is 1659741858

Main info

Organization
Name
CANYON CROSSING CHIROPRACTIC PS
NPI
1659741858
Phone
(847) 208-0973
Address
5610 176TH ST E
Authorized Official
DR. JACOB BROWN OWNER D.C
Enumeration Date
30 September 2015
Last Update Date
13 May 2019
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for CANYON CROSSING CHIROPRACTIC PS

  • 5610 176TH ST E

    D105

    PUYALLUP, WA 983759305

    Phone: (847) 208-0973

    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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-11-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-10-31 (221 days ago).

Enrollment records

1

Earliest due date

2025-10-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20151105002270OClinic/Group PracticeWA2025-10-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98375)

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Reviews

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Frequently asked questions

How is CANYON CROSSING CHIROPRACTIC PS identified in CMS data?
CMS-hosted NPPES data lists CANYON CROSSING CHIROPRACTIC PS with NPI 1659741858.
Is CANYON CROSSING CHIROPRACTIC PS listed as active for patients and plans?
The listing shows CANYON CROSSING CHIROPRACTIC PS as active in the NPI system.
What is CANYON CROSSING CHIROPRACTIC PS's primary classification?
Preferred Provider Organization is the headline specialty for CANYON CROSSING CHIROPRACTIC PS here. Clinical services aligned with this taxonomy classification.
Where should I expect CANYON CROSSING CHIROPRACTIC PS on a map?
Expect Puyallup, Washington as a primary anchor for CANYON CROSSING CHIROPRACTIC PS unless the record lists multiple sites.
Why does CANYON CROSSING CHIROPRACTIC PS have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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