Active NPI
Jared Bywater, DC
- Chiropractor
- Redmond, WA
National Provider Identifier
1124884234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 61520056
- Practice address
- 2513 152ND Ave NE
Redmond, WA 98052-5574 - Phone
- (435) 671-7888
- NPI assigned
- Feb 26, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 61520056 | WA | Primary |
Addresses
Primary practice location
2513 152ND Ave NE
Redmond, WA 98052-5574
Mailing address
1225 183Rd St SE Apt F306
Bothell, WA 98012-7530
Phone (435) 671-7888
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61520056 | WA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708905600000",
"number": "1124884234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 183RD ST SE APT F306",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980127530",
"telephone_number": "435-671-7888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2513 152ND AVE NE",
"city": "REDMOND",
"state": "WA",
"postal_code": "980525574",
"telephone_number": "435-671-7888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYWATER",
"first_name": "JARED",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-26",
"last_updated": "2024-02-26",
"certification_date": "2024-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "61520056",
"primary": true
}
],
"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 Feb 26, 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.