Organization Active NPI

Cummins Chiropractic and Wellness PLLC

  • Chiropractor
  • Bellevue, WA
National Provider Identifier
1003146846
Registry record updated Dec 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 00034659 Issued in WA
Legal business name
CUMMINS CHIROPRACTIC AND WELLNESS PLLC
Practice address
4122 Factoria Blvd SE
Ste 203
Bellevue, WA 98006-4200
Phone
(425) 614-0680
Fax
(425) 614-0679
NPI assigned
Dec 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert Swalwell Cummins Jr., D.C.NPI 1588710800
Title
Owner
Phone
(425) 614-0679

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH 00034659 WA Primary

Addresses

Primary practice location

4122 Factoria Blvd SE
Ste 203
Bellevue, WA 98006-4200

Mailing address

4122 Factoria Blvd SE
Ste 203
Bellevue, WA 98006-4200
Phone (425) 614-0680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100311001076 WA Part B Supplier - Clinic/Group Practice 9133254477 Receives reassigned benefits from 3 practitioners
Practice locations: Bellevue, WA

National Provider Directory

National Provider Directory

Locations

4122 Factoria Blvd SE
Ste 202
Bellevue, WA 98006
Phone (425) 590-9158

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262044800000",
    "number": "1003146846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4122 FACTORIA BLVD SE",
            "address_2": "STE 203",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980064200",
            "telephone_number": "425-614-0680",
            "fax_number": "425-614-0679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4122 FACTORIA BLVD SE",
            "address_2": "STE 203",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980064200",
            "telephone_number": "425-614-0680",
            "fax_number": "425-614-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMMINS CHIROPRACTIC AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-29",
        "last_updated": "2009-12-29",
        "status": "A",
        "authorized_official_last_name": "CUMMINS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SWALWELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-614-0679",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH 00034659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.