Active NPI
Justin Charles Schallmann, D.C.
- Chiropractor
- Redmond, WA
National Provider Identifier
1114199676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH60002301
- Practice address
- 2761 152ND Ave NE
Redmond, WA 98052-5555 - Phone
- (425) 437-9974
- Fax
- (425) 437-9964
- NPI assigned
- Mar 25, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH60002301 | WA | Primary |
| Chiropractor | 111N00000X | B01193 | NV |
Addresses
Primary practice location
2761 152ND Ave NE
Redmond, WA 98052-5555
Mailing address
2761 152ND Ave NE
Redmond, WA 98052-5555
Phone (425) 437-9974
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2761 152ND Ave NE
Redmond, WA 98052-5555
Phone (425) 437-9974
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B01193 | NV | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back in Balance Redmond, Inc. | Chiropractor | Current | Accepting new patients |
| Balanced Spine LLC | Chiropractor | Past | Accepting new patients |
Locations
2761 152nd Ave NE
Bldg 4
Redmond, WA 98052
2761 152nd Ave NE
Redmond, WA 98052
Phone (425) 223-6300
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Redmond, WA
- NPI 1144524950
-
- Chiropractor
- Issaquah, WA
- NPI 1265465058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413849600000",
"number": "1114199676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2761 152ND AVE NE",
"city": "REDMOND",
"state": "WA",
"postal_code": "980525555",
"telephone_number": "425-437-9974",
"fax_number": "425-437-9964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2761 152ND AVE NE",
"city": "REDMOND",
"state": "WA",
"postal_code": "980525555",
"telephone_number": "425-437-9974",
"fax_number": "425-437-9964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHALLMANN",
"first_name": "JUSTIN",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-25",
"last_updated": "2014-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH60002301",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NV",
"license": "B01193",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.