Organization Active NPI

Non Surgical Spine Care Center 1 PLLC

Doing business as Non Surgical Spine Care Center

  • Chiropractor
  • Bellevue, WA
National Provider Identifier
1033406087
Registry record updated Oct 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034114 Issued in WA
Legal business name
NON SURGICAL SPINE CARE CENTER 1 PLLC
Doing business as
Non Surgical Spine Care Center
Practice address
1240 116TH Ave NE
Suite #101
Bellevue, WA 98004-3815
Phone
(425) 455-3472
NPI assigned
Jun 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2011

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

Authorized official

Name
Dr. Jeremy John Welch, D.C.NPI 1144398785
Title
President
Phone
(426) 643-4454

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 CH00034114 WA Primary

Addresses

Primary practice location

1240 116TH Ave NE
Suite #101
Bellevue, WA 98004-3815

Mailing address

1240 116TH Ave NE
Suite #101
Bellevue, WA 98004-3815
Phone (425) 455-3472

Other names 1

  • Non Surgical Spine Care Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1309219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318896000000",
    "number": "1033406087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 116TH AVE NE",
            "address_2": "SUITE #101",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043815",
            "telephone_number": "425-455-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 116TH AVE NE",
            "address_2": "SUITE #101",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043815",
            "telephone_number": "425-455-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NON SURGICAL SPINE CARE CENTER 1 PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-28",
        "last_updated": "2011-10-18",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "426-643-4454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Non Surgical Spine Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 18, 2011; 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.