Jacob Brown, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR.CH60520744 Issued in WA

Practice address

27203 216TH Ave SE
Suite 1
Maple Valley, WA 98038-3273

Phone

(425) 432-4621

NPI assigned

Jan 14, 2015

Last updated

Jan 14, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Canyon Crossing Chiropractic PSGroup PAC ID 0143530998, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Canyon Crossing Chiropractic PS

  • Preferred Provider Organization
  • Puyallup, WA
  • NPI 1659741858
  Medicare reassignment Care Compare group NPD Authorized official
• Kriss Chiropractic PS

  • Chiropractor
  • Maple Valley, WA
  • NPI 1689815045
  NPD (past)
• Pearson Chiropractic PLLC

  • Rehabilitation Chiropractor
  • Covington, WA
  • NPI 1235337940
  NPD (past)

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1194114181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26900 171ST PL SE",
            "address_2": "B306",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980424982",
            "telephone_number": "847-208-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27203 216TH AVE SE",
            "address_2": "SUITE 1",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980383273",
            "telephone_number": "425-432-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JACOB",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-14",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CHIR.CH60520744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandy Oto Counseling, PLLC (Thrive Wellness Clinic)
• Breathing Essentials Myofunctional Therapy, LLC
• Mitchell Bredl
• Abbey Breese
• Anne-Elizabeth Briggs, RN
• Rachel Ann Brown
• Bruncuso Properties Inc
• Alyssa Janine Bruner
• Laurel Bunker, NIC MASTER
• Heather Michelle Carroll-Fry, LMP

• Chiropractor in Maple Valley, WA
• Providers in Maple Valley, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.