Xavier Inac Ibarreta, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00034279 Issued in WA

Practice address

23100 Pacific Hwy S Ste 201
Des Moines, WA 98198-7281

Phone

(206) 824-9500

Fax

(206) 824-9654

NPI assigned

Jun 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midway Healthcare Therapeutics LLCGroup PAC ID 9638154826, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Midway Healthcare Therapeutics LLC

  • Chiropractor
  • Des Moines, WA
  • NPI 1861436420
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507593600000",
    "number": "1124062849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23100 PACIFIC HWY S STE 201",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981987281",
            "telephone_number": "206-824-9500",
            "fax_number": "206-824-9654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23100 PACIFIC HWY S STE 201",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981987281",
            "telephone_number": "206-824-9500",
            "fax_number": "206-824-9654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBARRETA",
        "first_name": "XAVIER",
        "middle_name": "INAC",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2017-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "WA",
            "license": "CH00034279",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Rose Hulton, MA SLP
• Ashley Hultquist, OTR/L
• Humangood Washington
• Wayne Allen Hume Jr., PH.D.
• Parke Keever Humphrey I, PT
• Emily Kimiko Ikebe, OTR
• Im&G PLLC
• Jesus Iniguez, MD
• John Thomas Jackson, LMP
• Michele D Jackson, D.P.T.

• Chiropractor in Des Moines, WA
• Providers in Des Moines, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; 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.

Verify at the official NPI Registry.