Individual provider Active NPI

Seth Charles Rubio, DC

  • Chiropractor
  • Lakewood, WA
National Provider Identifier
1033700620
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH.61123858 Issued in WA
Practice address
9701 S Tacoma Way Ste 106
Lakewood, WA 98499-4490
Phone
(253) 588-8340
NPI assigned
Jan 27, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH.61123858 WA Primary

Addresses

Primary practice location

9701 S Tacoma Way Ste 106
Lakewood, WA 98499-4490

Mailing address

9701 S Tacoma Way Ste 106
Lakewood, WA 98499-4490
Phone (253) 588-8340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210322000330 WA Practitioner - Chiropractic 2769899681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH.61123858WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
CWC Group, PS Chiropractor CurrentSince Feb 1, 2021 Accepting new patients

Locations

12811 SE 38th St
Bellevue, WA 98006
Phone (425) 378-1800

9701 South Tacoma Way
Ste 106
Lakewood, WA 98499
Phone (253) 588-8340

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1033700620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 S TACOMA WAY STE 106",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984994490",
            "telephone_number": "253-588-8340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 S TACOMA WAY STE 106",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984994490",
            "telephone_number": "253-588-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIO",
        "first_name": "SETH",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH.61123858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.