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DR. DOUGLAS M LONG D.C.
NPI 1902904006
Chiropractor in Tacoma, WA

Active since September 20, 2006
4902 TACOMA MALL BLVD, TACOMA, WA 98409(253) 473-0300(253) 473-0305 Get Directions Write a Review

NPPES record last updated: October 28, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Douglas M Long D.c. NPPES

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

DR. DOUGLAS M LONG D.C. (NPI 1902904006) is an individual chiropractor in Tacoma, Washington, licensed in Washington (CH00002925) and active in the NPI registry since September 2006. He is a graduate of Life Chiropractic College - West (1993).

NPPES Registry Identity

NPI1902904006
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. DOUGLAS M LONGCredential: D.C.
Location Address4902 TACOMA MALL BLVDTacoma, WA 98409-7149
Mailing Address4902 Tacoma Mall BlvdTacoma, WA 98409-7149 · (253) 473-0300 · Fax (253) 473-0305
Phone(253) 473-0300
Fax(253) 473-0305
Sole ProprietorNo
Medical School CMSLife Chiropractic College - WestGraduated 1993
Enumeration DateSeptember 20, 2006
Last NPPES UpdateOctober 28, 2011
✔ NPI 1902904006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WA · CH00002925
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.
4902 TACOMA MALL BLVD, Tacoma, WA 98409
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Other Identifiers 1

Medicare PING115145704WA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Douglas M Long D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507752516
PECOS Enrollment IDI20120306000309

Medicare Billing Reassignment

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

Rcc Ps
Same address
Chiropractor
4902 TACOMA MALL BLVD
Tacoma, WA 98409
  • Reassigned Medicare billing, Washington enrollment
  • 10 clinicians in this Medicare group
NPI 1932147998 (253) 473-0300

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

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.
226 services32 patients

Other Providers at the Same Location NPPES 16

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

DR. ROBERT A. BRANT D.C.
Chiropractor
4902 TACOMA MALL BLVD
TACOMA, WA 98409
Pierce County (253) 473-0300
LAURIE N. DILLE LMT
Massage Therapist
4902 TACOMA MALL BLVD
TACOMA, WA 98409
Pierce County (253) 473-0300
VICTORIA BOND LMT
Massage Therapist
4902 TACOMA MALL BLVD
TACOMA, WA 98409
Pierce County (253) 473-0300
STEPHANIE MARIE GUTHRIE L.M.P.
Massage Therapist
4902 TACOMA MALL BLVD
TACOMA, WA 98409
Pierce County (253) 473-0300
VEACESLAV BENIAMIN GORAS DC
Chiropractor
4902 TACOMA MALL BLVD
TACOMA, WA 98409
Pierce County (253) 473-0300
TAYLOR SUE YOHANN
Massage Therapist
4902 TACOMA MALL BLVD
TACOMA, WA 98409
Pierce County (253) 473-0300
MRS. MICHELLE GONZALES L.M.P.
Specialist
4902 TACOMA MALL BLVD
TACOMA, WA 98409
Pierce County (253) 473-0300
KRISTEN MICHELLE DRUMM DC
Chiropractor
4902 TACOMA MALL BLVD
TACOMA, WA 98409
Pierce County (253) 473-0300

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 Douglas Long's NPI number?

The NPI number for Douglas Long is 1902904006. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Douglas Long located?

Douglas Long practices at 4902 Tacoma Mall Blvd, Tacoma, WA 98409. The listed phone number is (253) 473-0300.

What is Douglas Long's specialty?

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

Is Douglas Long enrolled in Medicare?

Yes. Douglas Long is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Douglas Long's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Long reassigns Medicare benefits to Rcc Ps (Tacoma, WA). The 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 Douglas Long's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Douglas Long was last updated on October 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.