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DEWILDE CHIROPRACTIC INC
NPI 1922290279
Chiropractor in Poulsbo, WA

Active since August 10, 2007
19660 10TH AVE NE STE B, POULSBO, WA 98370(360) 779-7800(360) 779-7060 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 9, 2025, Jun 24, 2020, Jun 8, 2020 (3 updates tracked since 2020).

About Dewilde Chiropractic Inc NPPES

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

DEWILDE CHIROPRACTIC INC (NPI 1922290279), doing business as Liberty Bay Chiropractic, is a healthcare organization registered as a chiropractor in Poulsbo, Washington and active in the NPI registry since August 2007. The organization maintains a secondary practice location in Poulsbo and lists Ryan Macedo, Owner, as its authorized official.

NPPES Registry Identity

NPI1922290279
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameDEWILDE CHIROPRACTIC INC
Location Address19660 10TH AVE NE STE BPoulsbo, WA 98370-6579
Mailing Address19660 10th Ave Ne Ste BPoulsbo, WA 98370-6579 · (360) 779-7800 · Fax (360) 779-7060
Phone(360) 779-7800
Fax(360) 779-7060
Organization SubpartNo
Authorized OfficialRyan MacedoOwner · (360) 779-7800
Enumeration DateAugust 10, 2007
Last NPPES UpdateJune 9, 20253 updates tracked since enumeration
NPPES CertifiedJune 9, 2025
✔ NPI 1922290279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedMassage TherapistTaxonomy 225700000X
19660 10TH AVE NE STE B, Poulsbo, WA 98370
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Other Names 1

Doing Business AsLiberty Bay Chiropractic

Secondary Practice Location 1

Location 119045 Hwy.305,, Suite 203Poulsbo, WA 98370 · Phone (360) 779-7800

Other Identifiers 1

Other0188295WA · Labor And Industries

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)

Dewilde Chiropractic Inc 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 Dewilde Chiropractic Inc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Cassidy Mccrea, DC
Chiropractic
NPI 1144934993
19740 7TH AVE NE STE 100
Poulsbo, WA 98370
(360) 779-7800
✔ Accepts Medicare0.1 mi
Ryan Macedo, D.C.
Chiropractic
NPI 1083949887
2100 SE 164TH AVE SUITE C102
Vancouver, WA 98683
(360) 258-0264
✔ Accepts Medicare148 mi
David Powell, DC
Chiropractic
NPI 1447454053
644 GRAND AVE SUITE 4
Billings, MT 59101
(406) 248-3218
✔ Accepts Medicare682 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 Dewilde Chiropractic Inc's NPI number?

The NPI number for Dewilde Chiropractic Inc is 1922290279. It was assigned to this organization in the NPPES registry on August 10, 2007. The provider is doing business as Liberty Bay Chiropractic.

Where is Dewilde Chiropractic Inc located?

Dewilde Chiropractic Inc is located at 19660 10th Ave NE Ste B, Poulsbo, WA 98370. The listed phone number is (360) 779-7800.

What is Dewilde Chiropractic Inc's specialty?

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

Is Dewilde Chiropractic Inc enrolled in Medicare?

Yes. Dewilde Chiropractic Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dewilde Chiropractic Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Chiropractic, reassign their Medicare billing to Dewilde Chiropractic Inc. 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Dewilde Chiropractic Inc accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Dewilde Chiropractic Inc 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 Dewilde Chiropractic Inc was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.