Active NPI
Richard A Bartlett, DC
- Chiropractor
- Seattle, WA
National Provider Identifier
1194752808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00002007
- Practice address
- 1904 3Rd Ave
Suite 608
Seattle, WA 98101-1160 - Phone
- (206) 467-6479
- Fax
- (206) 467-2777
- NPI assigned
- Jun 27, 2006
- 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 | CH00002007 | WA | Primary |
Addresses
Primary practice location
1904 3Rd Ave
Suite 608
Seattle, WA 98101-1160
Mailing address
1904 3Rd Ave
Suite 608
Seattle, WA 98101-1160
Phone (206) 467-6479
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BA4019 | Other | WA | REGENCE RIDER NUMBER |
| 208989771 | Other | WA | TAX ID |
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 |
|---|---|---|---|
| CH00002007 | WA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212105600000",
"number": "1194752808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1904 3RD AVE",
"address_2": "SUITE 608",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981011160",
"telephone_number": "206-467-6479",
"fax_number": "206-467-2777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1904 3RD AVE",
"address_2": "SUITE 608",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981011160",
"telephone_number": "206-467-6479",
"fax_number": "206-467-2777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTLETT",
"first_name": "RICHARD",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2008-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00002007",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE RIDER NUMBER",
"identifier": "BA4019",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "208989771",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.