COLVILLE CHIROPRACTIC CLINIC INC PS
NPI 1114052354
Chiropractor in Colville, WA

Active since February 21, 2007
165 S OAK ST, COLVILLE, WA 99114(509) 684-4456(509) 684-4456 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Colville Chiropractic Clinic Inc Ps NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLVILLE CHIROPRACTIC CLINIC INC PS (NPI 1114052354) is a healthcare organization registered as a chiropractor in Colville, Washington and active in the NPI registry since February 2007. The organization lists Roger L. Lawson, Owner, as its authorized official.

NPPES Registry Identity

NPI1114052354
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCOLVILLE CHIROPRACTIC CLINIC INC PS
Location Address165 S OAK STColville, WA 99114-2845
Mailing Address165 S Oak StColville, WA 99114-2845 · (509) 684-4456 · Fax (509) 684-4456
Fax(509) 684-4456
Organization SubpartNo
Authorized OfficialRoger L. LawsonOwner · (509) 684-4456
Enumeration DateFebruary 21, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1114052354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WA · CH00001798
Definition
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.
165 S OAK ST, Colville, WA 99114

Other Identifiers 1

Medicaid2004976WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Colville Chiropractic Clinic Inc Ps is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateWashingtonEnrollment IDO20070315000074Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Colville Chiropractic Clinic Inc Ps, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1679667505
165 SOUTH OAK SUITE A
Colville, WA 99114
(509) 684-4456
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Colville Chiropractic Clinic Inc Ps's NPI number?

The NPI number for Colville Chiropractic Clinic Inc Ps is 1114052354. It was assigned to this organization in the NPPES registry on February 21, 2007.

Where is Colville Chiropractic Clinic Inc Ps located?

Colville Chiropractic Clinic Inc Ps is located at 165 S Oak St, Colville, WA 99114. The listed phone number is (509) 684-4456.

What is Colville Chiropractic Clinic Inc Ps's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Colville Chiropractic Clinic Inc Ps enrolled in Medicare?

Yes. Colville Chiropractic Clinic Inc Ps is registered in the Medicare PECOS enrollment system.

When is Colville Chiropractic Clinic Inc Ps's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Washington, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Colville Chiropractic Clinic Inc Ps?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Colville Chiropractic Clinic Inc Ps. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Colville Chiropractic Clinic Inc Ps accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Colville Chiropractic Clinic Inc Ps as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Colville Chiropractic Clinic Inc Ps was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.