Organization Active NPI

Link Chiropractic PLLC

  • Chiropractor
  • Bellevue, WA
National Provider Identifier
1073281101
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LINK CHIROPRACTIC PLLC
Practice address
1600 148TH Ave SE Ste a
Bellevue, WA 98007-6852
Phone
(425) 590-9115
NPI assigned
Sep 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Authorized official

Name
Dr. Nazariy Stetsyuk, DC
Title
Doctor of Chiropractic / Owner
Phone
(206) 501-0067

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X

Addresses

Primary practice location

1600 148TH Ave SE Ste a
Bellevue, WA 98007-6852

Mailing address

5510 227TH St SE
Bothell, WA 98021-8006
Phone (206) 501-0067

Other identifiers 1

IdentifierTypeStateIssuer
CH61135059OtherWACHIROPRACTIC LICENSE

Other names 1

  • Link Chiropractic Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL linkchiro.janeapp.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

1600 148th Ave SE
Ste A
Bellevue, WA 98007
Phone (425) 590-9115

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1073281101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 227TH ST SE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980218006",
            "telephone_number": "206-501-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 148TH AVE SE STE A",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980076852",
            "telephone_number": "425-590-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINK CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "STETSYUK",
        "authorized_official_first_name": "NAZARIY",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC / OWNER",
        "authorized_official_telephone_number": "206-501-0067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "CH61135059",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "linkchiro.janeapp.com",
            "affiliation": "N",
            "endpointDescription": "EHR system",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "mail",
            "address_1": "1600 148th Ave SE Ste A",
            "city": "Bellevue",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980076852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Link Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 2, 2021; 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.