Canyon Crossing Chiropractic Ps
NPI 1659741858ActiveOrganization· Preferred Provider Organization· Puyallup, WA
Preferred Provider Organization in Puyallup, Washington, registered in NPPES in September 2015. The authorized official on file is Jacob Brown, D.C, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1659741858 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 30, 2015 |
| Last updated in NPPES | May 13, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | CH 60520744 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WA) |
|---|
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