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FAMILY & SPORTS CHIROPRACTIC CLINIC
NPI 1730676545
Chiropractor in Vancouver, WA

Active since April 17, 2018
5514 NE 107TH AVE STE 101, VANCOUVER, WA 98662(360) 254-0400(360) 254-9022 Get Directions Write a Review

NPPES record last updated: April 17, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Family & Sports Chiropractic Clinic NPPES

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

FAMILY & SPORTS CHIROPRACTIC CLINIC (NPI 1730676545) is a healthcare organization registered as a chiropractor in Vancouver, Washington and active in the NPI registry since April 2018. The organization lists Brie Chani Henderson, Clinic Owner, as its authorized official.

NPPES Registry Identity

NPI1730676545
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameBRIE CHANI HENDERSON
Location Address5514 NE 107TH AVE STE 101Vancouver, WA 98662-6346
Mailing Address5514 Ne 107th Ave Ste 101Vancouver, WA 98662-6346 · (360) 254-0400 · Fax (360) 254-9022
Phone(360) 254-0400
Fax(360) 254-9022
Organization SubpartNo
Authorized OfficialBrie Chani HendersonClinic Owner · (360) 254-0400
Enumeration DateApril 17, 2018
✔ NPI 1730676545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WA · CH60200517
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.
5514 NE 107TH AVE STE 101, Vancouver, WA 98662
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Other Names 1

Doing Business AsFamily & Sports Chiropractic Clinic

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Family & Sports Chiropractic Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Family & Sports Chiropractic Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Brie Henderson, D.C.
Chiropractic
NPI 1841595782
5514 NE 107TH AVE STE 101
Vancouver, WA 98662
(360) 254-0400
✔ 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 Brie Chani Henderson's NPI number?

The NPI number for Brie Chani Henderson is 1730676545. It was assigned to this organization in the NPPES registry on April 17, 2018. The provider is doing business as Family & Sports Chiropractic Clinic.

Where is Brie Chani Henderson located?

Brie Chani Henderson is located at 5514 NE 107th Ave Ste 101, Vancouver, WA 98662. The listed phone number is (360) 254-0400.

What is Brie Chani Henderson's specialty?

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

Is Brie Chani Henderson enrolled in Medicare?

Yes. Brie Chani Henderson is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Brie Chani Henderson?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Brie Chani Henderson. 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.

When was this NPI record last updated?

The NPPES record for Brie Chani Henderson was last updated on April 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.