Organization Active NPI

Jay Yri-Halen Chiropractic

  • Chiropractor
  • Bellevue, WA
National Provider Identifier
1023552353
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0001239 Issued in WA
Legal business name
JAY YRI-HALEN CHIROPRACTIC
Practice address
12951 NE Bel Red Rd Ste 120
Bellevue, WA 98005-2628
Phone
(425) 497-2107
Fax
(425) 455-2910
NPI assigned
Dec 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Authorized official

Name
Dr. Jay A Yri-Halen, D.C.NPI 1396815742
Title
Chiropractor
Phone
(425) 497-2107

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH0001239 WA Primary
Independent Medical Examiner ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NI0013X CH0001239 WA

Addresses

Primary practice location

12951 NE Bel Red Rd Ste 120
Bellevue, WA 98005-2628

Mailing address

12951 NE Bel Red Rd Ste 120
Bellevue, WA 98005-2628
Phone (425) 497-2107

Other identifiers 1

IdentifierTypeStateIssuer
15379OtherWALABOR AND INDUSTRIES

Other names 1

  • Jay Halen Chiropractic Other name

National Provider Directory

National Provider Directory

Locations

12951 NE Bel Red Rd
Ste 120
Bellevue, WA 98005
Phone (425) 455-3636

Practitioners & affiliated clinicians

Practitioners 1

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": "1480982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480982400000",
    "number": "1023552353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12951 NE BEL RED RD STE 120",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052628",
            "telephone_number": "425-497-2107",
            "fax_number": "425-455-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12951 NE BEL RED RD STE 120",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052628",
            "telephone_number": "425-497-2107",
            "fax_number": "425-455-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY YRI-HALEN CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-06",
        "last_updated": "2016-12-06",
        "status": "A",
        "authorized_official_last_name": "YRI-HALEN",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "425-497-2107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH0001239",
            "primary": true
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "WA",
            "license": "CH0001239",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "15379",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jay Halen Chiropractic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.