NOLAN DEATHERAGE DC
NPI 1144467119
Chiropractor in Auburn, WA

Active since January 13, 2009Accepts Medicare Assignment
1101 SUPERMALL WAY STE 1269, AUBURN, WA 98001(253) 269-0261 Get Directions Write a Review

NPPES record last updated: January 13, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nolan Deatherage Dc NPPES

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

NOLAN DEATHERAGE DC (NPI 1144467119) is an individual chiropractor in Auburn, Washington, licensed in Washington (CH60040685) and active in the NPI registry since January 2009. He is a graduate of Life Chiropractic College - West (2008).

NPPES Registry Identity

NPI1144467119
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameNOLAN DEATHERAGECredential: DC
Location Address1101 SUPERMALL WAY STE 1269Auburn, WA 98001-6535
Mailing Address1101 Supermall Way Ste 1269Auburn, WA 98001-6535 · (253) 269-0261
Sole ProprietorYes
Medical School CMSLife Chiropractic College - WestGraduated 2008
Enumeration DateJanuary 13, 2009
NPI 1144467119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in WA · CH60040685
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.
1101 SUPERMALL WAY STE 1269, Auburn, WA 98001

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nolan Deatherage Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456485531
PECOS Enrollment IDI20100811000228

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
223 services19 patients

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
1101 SUPERMALL WAY STE 1269
AUBURN, WA 98001
Physical Therapist
1101 SUPERMALL WAY STE 1269
AUBURN, WA 98001
Chiropractor
1101 SUPERMALL WAY STE 1269
AUBURN, WA 98001
Specialist
1101 SUPERMALL WAY STE 1269
AUBURN, WA 98001

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 Nolan Deatherage's NPI number?

The NPI number for Nolan Deatherage is 1144467119. It was assigned to this individual provider in the NPPES registry on January 13, 2009.

Where is Nolan Deatherage located?

Nolan Deatherage practices at 1101 Supermall Way Ste 1269, Auburn, WA 98001. The listed phone number is (253) 269-0261.

What is Nolan Deatherage's specialty?

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

Is Nolan Deatherage enrolled in Medicare?

Yes. Nolan Deatherage is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nolan Deatherage accept?

Health plans from PacificSource Health Plans and Providence Health Plan list Nolan Deatherage 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 Nolan Deatherage was last updated on January 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.