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

Q: 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.

Q: What is Douglas Long's specialty?

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

Q: 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 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.

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: August 02, 2026.

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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, and ordering and referring status from the CMS PECOS system.

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

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 15

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

DR. ROBERT A. BRANT D.C.

Chiropractor