Organization Active NPI

Blackrock Services Inc

Doing business as Back 2 Health Bellevue

  • Chiropractor
  • Bellevue, WA
National Provider Identifier
1033460472
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 00034771 Issued in WA
Legal business name
BLACKROCK SERVICES INC
Doing business as
Back 2 Health Bellevue
Practice address
1632 116TH Ave NE
Suite C
Bellevue, WA 98004-3035
Phone
(425) 285-9304
NPI assigned
Sep 25, 2012
Last updated
Jun 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Dr. Austin HsuNPI 1902945009
Title
Owner
Phone
(425) 285-9304

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH 00034771 WA Primary

Addresses

Primary practice location

1632 116TH Ave NE
Suite C
Bellevue, WA 98004-3035

Mailing address

PO Box 1905
Bellevue, WA 98009-1905
Phone (425) 285-9304

Other names 1

  • Back 2 Health Bellevue Doing business as

National Provider Directory

National Provider Directory

Locations

451 SW 10th St
Ste 104
Renton, WA 98057

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1033460472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1905",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980091905",
            "telephone_number": "425-285-9304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1632 116TH AVE NE",
            "address_2": "SUITE C",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043035",
            "telephone_number": "425-285-9304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKROCK SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-25",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "HSU",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-285-9304",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH 00034771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back 2 Health Bellevue",
            "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 Jun 20, 2018; 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.