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LAKE TAPPS CHIROPRACTIC CENTER, L.L.C.
NPI 1679616569
Chiropractor in Bonney Lake, WA

Active since February 14, 2007
21157 STATE ROUTE 410 E, BONNEY LAKE, WA 98391(253) 862-2138 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lake Tapps Chiropractic Center, L.l.c. NPPES

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

LAKE TAPPS CHIROPRACTIC CENTER, L.L.C. (NPI 1679616569) is a healthcare organization registered as a chiropractor in Bonney Lake, Washington and active in the NPI registry since February 2007. The organization lists Daniel W Anderson, Owner, as its authorized official.

NPPES Registry Identity

NPI1679616569
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameLAKE TAPPS CHIROPRACTIC CENTER, L.L.C.
Location Address21157 STATE ROUTE 410 EBonney Lake, WA 98391-8457
Mailing AddressPo Box 1549Buckley, WA 98321-1549 · (253) 862-2138
Phone(253) 862-2138
Organization SubpartNo
Authorized OfficialDaniel W AndersonOwner · (253) 862-2138
Enumeration DateFebruary 14, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1679616569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WA · CH00002318
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.
21157 STATE ROUTE 410 E, Bonney Lake, WA 98391
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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

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lake Tapps Chiropractic Center, L.l.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Lake Tapps Chiropractic Center, L.L.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Daniel Anderson, D.C.
Chiropractic
NPI 1760537021
21157 STATE ROUTE 410 E
Bonney Lake, WA 98391
(253) 862-2138
✔ Accepts MedicareSame address
Jordan Durrance, DC
Chiropractic
NPI 1902406242
3474 BUSKIRK AVE STE B
Pleasant Hill, CA 94523
(925) 393-5090
✔ Accepts Medicare637 mi

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 Lake Tapps Chiropractic Center, L.L.C.'s NPI number?

The NPI number for Lake Tapps Chiropractic Center, L.L.C. is 1679616569. It was assigned to this organization in the NPPES registry on February 14, 2007.

Where is Lake Tapps Chiropractic Center, L.L.C. located?

Lake Tapps Chiropractic Center, L.L.C. is located at 21157 State Route 410 E, Bonney Lake, WA 98391. The listed phone number is (253) 862-2138.

What is Lake Tapps Chiropractic Center, L.L.C.'s specialty?

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

Is Lake Tapps Chiropractic Center, L.L.C. enrolled in Medicare?

Yes. Lake Tapps Chiropractic Center, L.L.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lake Tapps Chiropractic Center, L.L.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Lake Tapps Chiropractic Center, L.L.C.. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lake Tapps Chiropractic Center, L.L.C. accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Lake Tapps Chiropractic Center, L.L.C. 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 Lake Tapps Chiropractic Center, L.L.C. 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.