{"npi":"1710032057","type":"NPI-2","status":"active","name":{"display":"Advanced Chiropractic Centre Corp","other":[],"organization_name":"ADVANCED CHIROPRACTIC CENTRE CORP","authorised_official":"Larry Wasilenkoff"},"specialty":{"primary_taxonomy":"111NS0005X","primary_taxonomy_description":"Sports Physician Chiropractor","slug":"sports-physician-chiropractor","schema_org_specialty":null,"all":[{"code":"111NS0005X","description":"Sports Physician Chiropractor","primary":true,"state":"WA","license":"CH00003418"}]},"addresses":[{"purpose":"LOCATION","street_1":"705 SE PARK CREST AVE., STE A120","city":"VANCOUVER","state":"WA","postal_code":"986831303","country_code":"US","phone":"3608923654","fax":"3608923692"},{"purpose":"MAILING","street_1":"705 SE PARK CREST AVE., STE A120","city":"VANCOUVER","state":"WA","postal_code":"986831303","country_code":"US","phone":"3608923654","fax":"3608923692"}],"license":{"state":"WA","number":"CH00003418"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20040408000924","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"WA","pac_id":"4183618697"}]},"enumeration_date":"2007-01-25","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}