NPIMap

Organization Active NPI

Seattle Wellness Group, P.S.

  • Chiropractor
  • Seattle, WA
National Provider Identifier
1093983587
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034709 Issued in WA
Legal business name
SEATTLE WELLNESS GROUP, P.S.
Practice address
3611 Woodland Park Ave N
#100
Seattle, WA 98103-7905
Phone
(206) 826-1289
NPI assigned
Feb 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Authorized official

Name
Dr. Nadeem Ali Bajwa, D.C.NPI 1982744660
Title
Sole Director
Phone
(206) 826-1289

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
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH00034709 WA Primary

Addresses

Primary practice location

3611 Woodland Park Ave N
#100
Seattle, WA 98103-7905

Mailing address

3611 Woodland Park Ave N
#100
Seattle, WA 98103-7905
Phone (206) 826-1289

Other names 1

  • Seattle Chiropractic & Massage Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090806000193 WA Part B Supplier - Clinic/Group Practice 2769535871 Receives reassigned benefits from 2 practitioners
Practice locations: Seattle, WA

National Provider Directory

National Provider Directory

Locations

3611 Woodland Park Ave N
#100
Seattle, WA 98103
Phone (206) 826-1005

Practitioners & affiliated clinicians

Practitioners 11

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": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1093983587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 WOODLAND PARK AVE N",
            "address_2": "#100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981037905",
            "telephone_number": "206-826-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 WOODLAND PARK AVE N",
            "address_2": "#100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981037905",
            "telephone_number": "206-826-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEATTLE WELLNESS GROUP, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "BAJWA",
        "authorized_official_first_name": "NADEEM",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "SOLE DIRECTOR",
        "authorized_official_telephone_number": "206-826-1289",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seattle Chiropractic & Massage Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.