Organization Active NPI

Evidence Based Healthcare, PLLC

Doing business as Align Chiropractic

  • Chiropractor
  • Seattle, WA
National Provider Identifier
1033492285
Registry record updated Sep 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034786 Issued in WA
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

Updated by the provider on Sep 23, 2011

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)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
8870884OtherWAPTAN

Other names 1

  • Align Chiropractic Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.