Individual provider Active NPI

Edward Alexander Owens, D.C.

  • Chiropractor
  • Bellevue, WA
National Provider Identifier
1043323249
Registry record updated May 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00003420 Issued in WA
Practice address
13400 NE 20TH Street
Suite 2
Bellevue, WA 98005-2056
Phone
(425) 802-5432
Fax
(855) 237-3755
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH3420 WA
Chiropractor 111N00000X CH00003420 WA Primary

Addresses

Primary practice location

13400 NE 20TH Street
Suite 2
Bellevue, WA 98005-2056

Mailing address

P.O. Box 1238
Bellevue, WA 98009-1238
Phone (425) 802-5432

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040628000258 WA Practitioner - Chiropractic 9436135704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

365 118TH Ave SE
Suite 110
Bellevue, WA 98005-3557
Phone (425) 802-5432

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH3420WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Edward a. Owens, PS. Chiropractor CurrentSince Sep 1, 2008 Accepting new patients
Serenity Chiropractic, PLLC Chiropractor Past Accepting new patients
Crossroads Chiropractic Inc. Chiropractor Past Accepting new patients

Locations

13400 NE 20th St
Ste 2
Bellevue, WA 98005
Phone (425) 802-5432

365 118th Ave SE
Ste 110
Bellevue, WA 98005
Phone (425) 462-5878

15935 NE 8th St
Ste A101
Bellevue, WA 98008
Phone (425) 644-5556

Networks

  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
  • WA PPO C-SNP

Organizations & group practices 3

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336348800000",
    "number": "1043323249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1238",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980091238",
            "telephone_number": "425-802-5432",
            "fax_number": "855-237-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 NE 20TH STREET",
            "address_2": "SUITE 2",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052056",
            "telephone_number": "425-802-5432",
            "fax_number": "855-237-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "EDWARD",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2012-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH3420",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.