Suncrest Chiropractic and Massage PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SUNCREST CHIROPRACTIC AND MASSAGE PLLC

Practice address

4988 S Wallbridge Rd
Deer Park, WA 99006-8436

Phone

(940) 372-4484

NPI assigned

Jul 19, 2021

Organization subpart

No

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

Authorized official

Name

Marty Seamands, D.C.NPI 1053449025

Title

Owner

Phone

(940) 372-4484

Specialties & licenses 4

Addresses

Other identifiers 5

Other names 1

• Suncrest Chiropractic and Massage Former legal business name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marty Seamands, D.C.

  • Rehabilitation Chiropractor
  • Deer Park, WA
  • NPI 1053449025
  Medicare reassignment NPD Authorized official
• Kelsey Beaton, LMT

  • Massage Therapist
  • Nine Mile Falls, WA
  • NPI 1710607544
  NPD
• Melinda Ann Sauvage, D.C.

  • Chiropractor
  • Emmett, ID
  • NPI 1710199922
  NPD
• Kristen Fuller

  • Technician
  • Nine Mile Falls, WA
  • NPI 1053826883
  NPD (past)
• Calli Marie Koenig, LMT

  • Massage Therapist
  • Reardan, WA
  • NPI 1942895537
  NPD (past)

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1073186011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4988 S WALLBRIDGE RD",
            "city": "DEER PARK",
            "state": "WA",
            "postal_code": "990068436",
            "telephone_number": "940-372-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4988 S WALLBRIDGE RD",
            "city": "DEER PARK",
            "state": "WA",
            "postal_code": "990068436",
            "telephone_number": "940-372-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCREST CHIROPRACTIC AND MASSAGE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-19",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "SEAMANDS",
        "authorized_official_first_name": "MARTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-372-4484",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NX0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Occupational Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIZETTO PROVIDER SOLUTIONS",
            "identifier": "1053449025",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14965494",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TIVITY HEALTH",
            "identifier": "1053449025",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPECIALTY HEALTH NETWORK",
            "identifier": "1053449025",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUM",
            "identifier": "1053449025",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suncrest Chiropractic and Massage",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Suncrest Chiropractic and Massage",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Benjamin Steven Tucker, PT

• Chiropractor in Deer Park, WA
• Providers in Deer Park, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.