Active NPI
Evidence Based Healthcare, PLLC
Doing business as Align Chiropractic
- Chiropractor
- Seattle, WA
National Provider Identifier
1033492285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00034786
- Legal business name
- EVIDENCE BASED HEALTHCARE, PLLC
- Doing business as
- Align Chiropractic
- Practice address
- 910 Lenora St
Suite 160
Seattle, WA 98121-2754 - Phone
- (206) 397-3457
- NPI assigned
- Sep 23, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Justin J Favreau, DC
- Title
- President
- Phone
- (206) 397-3457
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00034786 | WA | Primary |
Addresses
Primary practice location
910 Lenora St
Suite 160
Seattle, WA 98121-2754
Mailing address
910 Lenora St
Suite 160
Seattle, WA 98121-2754
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8870884 | Other | WA | PTAN |
Other names 1
- Align Chiropractic
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1316736000000",
"number": "1033492285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 LENORA ST",
"address_2": "SUITE 160",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981212754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 LENORA ST",
"address_2": "SUITE 160",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981212754",
"telephone_number": "206-397-3457"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVIDENCE BASED HEALTHCARE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-23",
"last_updated": "2011-09-23",
"status": "A",
"authorized_official_last_name": "FAVREAU",
"authorized_official_first_name": "JUSTIN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "206-397-3457",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00034786",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "8870884",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Align Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}
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 23, 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.