Individual provider Active NPI

Jas Walia, DC

  • Chiropractor
  • Seattle, WA
National Provider Identifier
1023157112
Registry record updated Sep 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034098 Issued in WA
Practice address
905 NE 45TH St Ste B
Seattle, WA 98105-4783
Phone
(206) 782-9762
NPI assigned
Feb 5, 2007
Last updated
Sep 16, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00034098 WA Primary

Addresses

Primary practice location

905 NE 45TH St Ste B
Seattle, WA 98105-4783

Mailing address

905 NE 45TH St Ste B
Seattle, WA 98105-4783
Phone (206) 782-9762

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091208000042 WA Practitioner - Chiropractic 3173661840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jas Walia Chiropractic, Inc PSGroup PAC ID 0446398119, 2 clinicians

Practice addresses (Care Compare)

905 NE 45TH St
Suite B
Seattle, WA 98105-4783
Phone (206) 782-9762

905 NE 45TH St B
Seattle, WA 98105-4783

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jas Walia Chiropractic, Inc PS Chiropractor CurrentSince Oct 26, 2009 Accepting new patients

Locations

905 NE 45th St
Ste B
Seattle, WA 98105
Phone (206) 782-9762

Networks

  • WA PPO C-SNP
  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253059200000",
    "number": "1023157112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 NE 45TH ST STE B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054783",
            "telephone_number": "206-782-9762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 NE 45TH ST STE B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054783",
            "telephone_number": "206-782-9762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALIA",
        "first_name": "JAS",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2009-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; 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.

Verify at the official NPI Registry.