Individual provider Active NPI

Carey Michael Hughes, DC

  • Chiropractor
  • Kent, WA
National Provider Identifier
1124182688
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002111 Issued in WA
Practice address
13210 SE 240TH St
Suite a-4
Kent, WA 98042-5182
Phone
(253) 631-1118
Fax
(253) 631-1156
NPI assigned
Dec 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00002111 WA Primary

Addresses

Primary practice location

13210 SE 240TH St
Suite a-4
Kent, WA 98042-5182

Mailing address

3603 West Tapps Dr. E.
Lake Tapps, WA 98391
Phone (253) 230-0881

Other identifiers 2

IdentifierTypeStateIssuer
91-2105628OtherWAFEDERAL TAX ID NO.
0080675OtherWAWA L&I PROVIDER NO.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Valley Chiropractic Clinic, PS Chiropractor CurrentSince Jan 29, 2008 Accepting new patients

Locations

13210 SE 240th St
Ste A4
Kent, WA 98042
Phone (206) 631-1118

13106 SE 240th St
Ste 201
Kent, WA 98031
Phone (253) 631-1118

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1124182688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3603 WEST TAPPS DR. E.",
            "city": "LAKE TAPPS",
            "state": "WA",
            "postal_code": "98391",
            "telephone_number": "253-230-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13210 SE 240TH ST",
            "address_2": "SUITE A-4",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980425182",
            "telephone_number": "253-631-1118",
            "fax_number": "253-631-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "CAREY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID NO.",
            "identifier": "91-2105628",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA L&I PROVIDER NO.",
            "identifier": "0080675",
            "state": "WA"
        }
    ],
    "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 Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.