Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1003850520 Deactivated / Inactive NPI Male Practitioner

Dr. Wade K Randall , DC

Chiropractor • Centralia, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Wade Randall has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 15, 2006
NPI Deactivation Date March 07, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Wade Randall, DC was a registered Chiropractor practicing in Centralia, WA. Throughout an active medical career spanning 11 years, Dr. Randall provided care at the practice location at 1101 MELLEN ST until profile deactivation on 2017-03-07.

Practice Location & Contact Primary Location

Practice Address

1101 Mellen St

Centralia, WA 985311173

Telephone 3603301800
Fax 3603305866
Associated Practice Facility / Clinic
🏢 Family Chiropractic Inc Facility NPI 1144353483

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Centralia, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.0 Yrs
State Avg: 23.7 Yrs
Regional Practice Density
10 Specialists

Practicing in Centralia, WA (3154 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License WA CH00001458

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1376876813

Licensed Massage Practitioner

NPI 1528236577

Doctor of Chiropractic

Jennifer Brinson , LMP

Massage Therapist

NPI 1720330418

Licensed Massage Practitioner

NPI 1760767073

Licensed Massage Practitioner

Allison Clark , LMP

Massage Therapist

NPI 1962671859

Licensed Massage Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 07, 2017

Record deactivated on March 07, 2017

NPI Profile Active March 12, 2008

NPI status registered as active in NPPES database

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Updated Practice Location March 12, 2008

Registered at 1101 MELLEN ST, CENTRALIA, WA 985311173 (Tel: 3603301800)

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Updated Business Mailing Address March 12, 2008

Registered at 1101 MELLEN ST, CENTRALIA, WA 985311173 (Tel: 3603301800)

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Provider Name / Credentials Updated March 12, 2008

Recorded as WADE RANDALL, DC

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2008

Chiropractor (License #CH00001458 in WA)

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Initial NPI Registration & Enumeration June 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003850520
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2006
Last Update: March 12, 2008
Deactivation Date: March 07, 2017

Mailing Address

1101 Mellen St

Centralia, WA 985311173

Phone: 3603301800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.