CHARLES C DWYER DC
NPI 1265404156
Chiropractor in Clarkston, WA

Q: What is Charles Dwyer's NPI number?

The NPI number for Charles Dwyer is 1265404156. It was assigned to this individual provider in the NPPES registry on February 3, 2006.

Q: What is Charles Dwyer's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Charles Dwyer was last updated on June 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since February 03, 2006

919 HIGHLAND AVE, CLARKSTON, WA 99403(509) 758-9214(509) 758-9267 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Charles C Dwyer Dc NPPES

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

CHARLES C DWYER DC (NPI 1265404156) is an individual chiropractor in Clarkston, Washington, licensed in Washington (CH00003297) and active in the NPI registry since February 2006. He is a graduate of Palmer College Chiropractic - West Sunnyvale (1996).

NPPES Registry Identity

NPI1265404156

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameCHARLES C DWYERCredential: DC

Location Address919 HIGHLAND AVEClarkston, WA 99403-2762

Mailing Address919 Highland AveClarkston, WA 99403-2762 · (509) 758-9214 · Fax (509) 758-9267

Phone(509) 758-9214

Fax(509) 758-9267

Sole ProprietorYes

Medical School CMSPalmer College Chiropractic - West SunnyvaleGraduated 1996

Enumeration DateFebruary 3, 2006

Last NPPES UpdateJune 22, 2021

NPPES CertifiedJune 22, 2021

✔ NPI 1265404156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in WA · CH00003297

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.

Also ListedChiropractor · ThermographyTaxonomy 111NT0100X · License 0252002 CH00003297 (WA)

919 HIGHLAND AVE, Clarkston, WA 99403

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles C Dwyer Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507915121

PECOS Enrollment IDI20090601000129

Medicare Billing Reassignment

Medicare enrollment records show Charles Dwyer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Charles C Dwyer Dc PC

Same address

Radiology

919 HIGHLAND AVE
Clarkston, WA 99403

Reassigned Medicare billing, Washington enrollment
4 clinicians in this Medicare group

NPI 1114168002 (509) 758-9214

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

Areas of Expertise CMS Part B claims 2

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.

1,298 services181 patients

Chiropractic manipulative treatment, 1-2 spinal regions 98940

Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.

949 services172 patients

Other Providers at the Same Location NPPES 8

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

CHARLES C DWYER DC PC

Chiropractor (Radiology)