NPIMap

Organization Active NPI

Stephen J Zografos DC Inc PS

  • Sports Physician Chiropractor
  • Kent, WA
National Provider Identifier
1083891394
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
2315 Issued in WA
Legal business name
STEPHEN J ZOGRAFOS DC INC PS
Practice address
24909 104TH Ave SE
Suite 103
Kent, WA 98030-2819
Phone
(253) 850-8163
Fax
(253) 850-8164
NPI assigned
Jan 29, 2008
Last updated
Jan 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Authorized official

Name
Dr. Stephen J Zografos, D.C.NPI 1316006349
Title
President
Phone
(253) 850-8163

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 2315 WA Primary

Addresses

Primary practice location

24909 104TH Ave SE
Suite 103
Kent, WA 98030-2819

Mailing address

24909 104TH Ave SE
Suite 103
Kent, WA 98030-2819
Phone (253) 850-8163

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080130000730 WA Part B Supplier - Clinic/Group Practice 6406938364 Receives reassigned benefits from 1 practitioner
Practice locations: Kent, WA

National Provider Directory

National Provider Directory

Locations

24909 104th Ave SE
Ste 103
Kent, WA 98030
Phone (253) 850-8163

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1083891394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24909 104TH AVE SE",
            "address_2": "SUITE 103",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980302819",
            "telephone_number": "253-850-8163",
            "fax_number": "253-850-8164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24909 104TH AVE SE",
            "address_2": "SUITE 103",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980302819",
            "telephone_number": "253-850-8163",
            "fax_number": "253-850-8164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN J ZOGRAFOS DC INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "ZOGRAFOS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-850-8163",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "WA",
            "license": "2315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.