Active NPI
Michael Keith Bastron, D.C.
- Chiropractor
- Federal Way, WA
National Provider Identifier
1023030962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH0002493
- Practice address
- 1010 S 336TH Street Suite 120
Federal Way, WA 98003 - Phone
- (253) 838-5385
- Fax
- (253) 838-4540
- NPI assigned
- Jul 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Federal Way, WA
- NPI 1306002670
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
31919 1St Ave S
Suite 100
Federal Way, WA 98003-5258
Phone (253) 838-5385
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080825000311 | WA | Practitioner - Chiropractic | 0345315404 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH0002493 | WA | MD | Chiropractor |
Practice roles (1 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bastron Chiropractic Inc | Chiropractor | Current | Accepting new patients |
Locations
32123 1st Ave S
Ste A4
Federal Way, WA 98003
Phone (253) 838-5385
31919 1st Ave S
Ste 100
Federal Way, WA 98003
Phone (253) 838-5385
1010 S 336th St
Ste 120
Federal Way, WA 98003
Phone (253) 874-9001
Networks
- WA PPO C-SNP
- devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH0002493 | WA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1010 S 336TH Street Suite 120
Federal Way, WA 98003
Mailing address
1010 S 336TH Street Suite 120
Federal Way, WA 98003-7354
Phone (253) 838-5385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 30, 2015.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443571200000",
"number": "1023030962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 S 336TH STREET SUITE 120",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980037354",
"telephone_number": "253-838-5385",
"fax_number": "253-838-4540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 S 336TH STREET SUITE 120",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "98003",
"telephone_number": "253-838-5385",
"fax_number": "253-838-4540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASTRON",
"first_name": "MICHAEL",
"middle_name": "KEITH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-23",
"last_updated": "2015-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH0002493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.