Active NPI
Jayson Adam Sipress, DC
- Sports Physician Chiropractor
- Lynnwood, WA
National Provider Identifier
1023478534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 60630792
- Practice address
- 19031 33Rd Ave W
#315
Lynnwood, WA 98036-4731 - Phone
- (425) 971-1942
- NPI assigned
- Feb 25, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 60630792 | WA | Primary |
Addresses
Primary practice location
19031 33Rd Ave W
#315
Lynnwood, WA 98036-4731
Mailing address
4421 Grand Ave
Everett, WA 98203-2219
Phone (425) 971-1942
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60630792 | WA | MD | Sports Physician Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489622400000",
"number": "1023478534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4421 GRAND AVE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982032219",
"telephone_number": "425-971-1942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19031 33RD AVE W",
"address_2": "#315",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980364731",
"telephone_number": "425-971-1942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIPRESS",
"first_name": "JAYSON",
"middle_name": "ADAM",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-25",
"last_updated": "2017-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "WA",
"license": "60630792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.