1. Home
  2. Directory
  3. Washington
  4. Ellensburg
  5. Chiropractor
  6. NPI Profile

ELLENSBURG CHIROPRACTIC,PS
NPI 1720307382
Chiropractor in Ellensburg, WA

Active since May 21, 2010
109 S WATER ST, SUITE 2, ELLENSBURG, WA 98926(509) 962-2225(509) 962-2270 Get Directions Write a Review

NPPES record last updated: March 28, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ellensburg Chiropractic,ps NPPES

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

ELLENSBURG CHIROPRACTIC,PS (NPI 1720307382) is a healthcare organization registered as a chiropractor in Ellensburg, Washington and active in the NPI registry since May 2010. The organization lists Gary L. Favero, Owner, as its authorized official.

NPPES Registry Identity

NPI1720307382
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameELLENSBURG CHIROPRACTIC,PS
Location Address109 S WATER ST, SUITE 2Ellensburg, WA 98926-3061
Mailing Address109 S Water St, Suite 2Ellensburg, WA 98926-3061 · (509) 962-2225 · Fax (509) 962-2270
Phone(509) 962-2225
Fax(509) 962-2270
Organization SubpartNo
Authorized OfficialGary L. FaveroOwner · (509) 962-2225
Enumeration DateMay 21, 2010
Last NPPES UpdateMarch 28, 2012
✔ NPI 1720307382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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 ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License MD00047820 (WA)
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X · License MD00047820 (WA)
Also ListedMassage TherapistTaxonomy 225700000X
109 S WATER ST, Ellensburg, WA 98926
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Ellensburg Chiropractic,ps is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Ellensburg Chiropractic,ps, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Gary Favero, DC
Chiropractic
NPI 1770680878
109 S WATER ST #2
Ellensburg, WA 98926
(509) 962-2225
✔ Accepts MedicareSame address
Dan Keffeler, D.C.
Chiropractic
NPI 1073970356
109 S WATER ST STE 2
Ellensburg, WA 98926
(509) 962-2225
✔ Accepts MedicareSame address
Korey Carleton, DC
Chiropractic
NPI 1982235834
604 WILLIAMS BLVD STE A
Richland, WA 99354
(509) 946-0631
✔ PECOS✔ Accepts Medicare78 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 Ellensburg Chiropractic,ps's NPI number?

The NPI number for Ellensburg Chiropractic,ps is 1720307382. It was assigned to this organization in the NPPES registry on May 21, 2010.

Where is Ellensburg Chiropractic,ps located?

Ellensburg Chiropractic,ps is located at 109 S Water St Suite 2, Ellensburg, WA 98926. The listed phone number is (509) 962-2225.

What is Ellensburg Chiropractic,ps's specialty?

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

Is Ellensburg Chiropractic,ps enrolled in Medicare?

Yes. Ellensburg Chiropractic,ps is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ellensburg Chiropractic,ps?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Chiropractic, reassign their Medicare billing to Ellensburg Chiropractic,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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ellensburg Chiropractic,ps accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Ellensburg Chiropractic,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 Ellensburg Chiropractic,ps was last updated on March 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.