Individual provider Active NPI

Jason Michael Epeneter, D.C.

  • Chiropractor
  • Tacoma, WA
National Provider Identifier
1043429616
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34081 Issued in WA
Practice address
715 N 12TH St
Tacoma, WA 98403-2514
Phone
(253) 722-3437
Fax
(253) 683-3001
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 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 28066 CA
Chiropractor 111N00000X 34081 WA Primary

Addresses

Primary practice location

715 N 12TH St
Tacoma, WA 98403-2514

Mailing address

715 N 12TH St
Tacoma, WA 98403-2514
Phone (253) 722-3437

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120326000791 WA Practitioner - Chiropractic 4183513575 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34081WAMDChiropractor
28066CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Empire Therapy Associates LLC CurrentSince Oct 1, 2025 Accepting new patients
Puyallup Chiropractic Clinic Chiropractor PastSince Jun 1, 2008 Accepting new patients
Epeneter Chiropractic, Inc. Chiropractor PastSince Jan 1, 1990 Accepting new patients

Locations

501 S Bernard St
Ste 100
Spokane, WA 99204
Phone (509) 701-7651

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1043429616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 N 12TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984032514",
            "telephone_number": "253-722-3437",
            "fax_number": "253-683-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 N 12TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984032514",
            "telephone_number": "253-722-3437",
            "fax_number": "253-683-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPENETER",
        "first_name": "JASON",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "28066",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "34081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.