ADVANCED CHIROPRACTIC CENTRE CORP
NPI 1710032057
Chiropractor - Sports Physician in Vancouver, WA

Q: What is Advanced Chiropractic Centre Corp's NPI number?

The NPI number for Advanced Chiropractic Centre Corp is 1710032057. It was assigned to this organization in the NPPES registry on January 25, 2007.

Q: What is Advanced Chiropractic Centre Corp's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Active since January 25, 2007

705 SE PARK CREST AVE., STE A120, VANCOUVER, WA 98683(360) 892-3654(360) 892-3692 Get Directions Write a Review

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

On this page

About Advanced Chiropractic Centre Corp NPPES

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

ADVANCED CHIROPRACTIC CENTRE CORP (NPI 1710032057) is a healthcare organization registered as a sports physician in Vancouver, Washington and active in the NPI registry since January 2007. The organization lists Larry Lee Wasilenkoff, Owner, as its authorized official.

NPPES Registry Identity

NPI1710032057

Entity TypeOrganization

Primary Taxonomy111NS0005X

Legal Business NameADVANCED CHIROPRACTIC CENTRE CORP

Location Address705 SE PARK CREST AVE., STE A120Vancouver, WA 98683-1303

Mailing Address705 Se Park Crest Ave., Ste A120Vancouver, WA 98683-1303 · (360) 892-3654 · Fax (360) 892-3692

Phone(360) 892-3654

Fax(360) 892-3692

Organization SubpartNo

Authorized OfficialLarry Lee WasilenkoffOwner · (360) 892-3654

Enumeration DateJanuary 25, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1710032057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers

Taxonomy Code111NS0005X

License✔ Licensed in WA · CH00003418

Definition

A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.

705 SE PARK CREST AVE., STE A120, Vancouver, WA 98683

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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 BridgeSpan Health Company, Premera Blue Cross Blue Shield of Alaska, Regence BlueCross BlueShield of Oregon.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)

Advanced Chiropractic Centre Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

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 IDO20040408000924Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026

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 Advanced Chiropractic Centre Corp, which bills Medicare for the services this clinician delivers.

Clinician (1)

Larry Wasilenkoff, D.C.

Chiropractic

NPI 1659442135

705 SE PARK CREST AVE STE A120
Vancouver, WA 98683

(360) 892-3654

✔ 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 Advanced Chiropractic Centre Corp's NPI number?

The NPI number for Advanced Chiropractic Centre Corp is 1710032057. It was assigned to this organization in the NPPES registry on January 25, 2007.

Where is Advanced Chiropractic Centre Corp located?

Advanced Chiropractic Centre Corp is located at 705 SE Park Crest Ave., Ste A120, Vancouver, WA 98683. The listed phone number is (360) 892-3654.

What is Advanced Chiropractic Centre Corp's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Advanced Chiropractic Centre Corp enrolled in Medicare?

Yes. Advanced Chiropractic Centre Corp is registered in the Medicare PECOS enrollment system.

When is Advanced Chiropractic Centre Corp'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 December 31, 2026. 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 Advanced Chiropractic Centre Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Advanced Chiropractic Centre Corp. 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 Advanced Chiropractic Centre Corp accept?

Health plans from BridgeSpan Health Company, Premera Blue Cross Blue Shield of Alaska and Regence BlueCross BlueShield of Oregon list Advanced Chiropractic Centre Corp 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 Advanced Chiropractic Centre Corp 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.