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Deactivated NPI 1255381372 Deactivated / Inactive NPI Male Practitioner

Dr. Rodolfo Antonio Dabalos , DC

Chiropractor • Moses Lake, 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. Rodolfo Dabalos has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 11, 2006
NPI Deactivation Date February 08, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Rodolfo Dabalos, DC was a registered Chiropractor practicing in Moses Lake, WA. Throughout an active medical career spanning 17 years, Dr. Dabalos provided care at the practice location at 830 E BROADWAY AVE until profile deactivation on 2023-02-08.

Historical Medicare Part B clinical services included chiropractic manipulative treatment, 3-4 spinal regions, chiropractic manipulative treatment, 1-2 spinal regions. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

830 E Broadway Ave

Moses Lake, WA 988375932

Telephone 5097669966
Fax 5097660330
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Moses Lake, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.3 Yrs
State Avg: 23.7 Yrs
Regional Practice Density
17 Specialists

Practicing in Moses Lake, WA (3154 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
1.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98941 Chiropractic manipulative treatment, 3-4 spinal regions
36 14 $40.35 $39.95

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License WA CH00001298

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

3 Associated Practitioners
Timothy Villarreal , LMP

Massage Therapist

NPI 1407938145

Licensed Massage Practitioner

NPI 1629259031

OMD, Licensed Acupuncturist

Sharon Villarreal , LMP

Massage Therapist

NPI 1821170556

Licensed Massage Practitioner

Career & Practice History Timeline

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

8 Historical Events
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NPI Profile Deactivated February 08, 2023

Record deactivated on February 08, 2023

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Updated Practice Location November 08, 2019

Registered at 361 E MAIN ST, OTHELLO, WA 99344 (Tel: 5094883346)

NPI Profile Active January 10, 2013

NPI status registered as active in NPPES database

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Updated Practice Location January 10, 2013

Registered at 830 E BROADWAY AVE, MOSES LAKE, WA 988375932 (Tel: 5097669966)

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Updated Business Mailing Address January 10, 2013

Registered at 361 E. MAIN ST, OTHELLO, WA 99344 (Tel: 5094883346)

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Provider Name / Credentials Updated January 10, 2013

Recorded as RODOLFO DABALOS, D.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2013

Chiropractor (License #CH00001298 in WA)

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Initial NPI Registration & Enumeration May 11, 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: 1255381372
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2006
Last Update: January 10, 2013
Deactivation Date: February 08, 2023

Mailing Address

361 E. Main St

Othello, WA 99344

Phone: 5094883346

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

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