Organization Active NPI

Dr. Edward a. Owens, PS.

  • Chiropractor
  • Bellevue, WA
National Provider Identifier
1114184611
Registry record updated Sep 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00003420 Issued in WA
Legal business name
DR. EDWARD A. OWENS, PS.
Practice address
13400 NE 20TH Street
Suite 2
Bellevue, WA 98005-2056
Phone
(425) 802-5432
Fax
(855) 237-3755
NPI assigned
May 21, 2008
Last updated
Sep 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2012

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

Authorized official

Name
Dr. Edward A. Owens, DCNPI 1043323249
Title
Owner
Phone
(425) 644-5556

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
Chiropractor 111N00000X CH00003420 WA Primary

Addresses

Primary practice location

13400 NE 20TH Street
Suite 2
Bellevue, WA 98005-2056

Mailing address

P.O. Box 1238
Bellevue, WA 98009-1238
Phone (425) 802-5432

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080929000435 WA Part B Supplier - Clinic/Group Practice 8527135896 Receives reassigned benefits from 1 practitioner
Practice locations: Bellevue, WA

National Provider Directory

National Provider Directory

Locations

12727 Northup Way
Ste 18
Bellevue, WA 98005
Phone (425) 802-5432

13400 NE 20th St
Ste 2
Bellevue, WA 98005
Phone (425) 802-5432

365 118th Ave SE
Ste 110
Bellevue, WA 98005
Phone (425) 442-0530

Practitioners & affiliated clinicians

Practitioners 3

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": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348185600000",
    "number": "1114184611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1238",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980091238",
            "telephone_number": "425-802-5432",
            "fax_number": "855-237-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 NE 20TH STREET",
            "address_2": "SUITE 2",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052056",
            "telephone_number": "425-802-5432",
            "fax_number": "855-237-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. EDWARD A. OWENS, PS.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2012-09-21",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-644-5556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 21, 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.