Active NPI
Metcalf Chiropractic Health Center, Inc
- Chiropractor
- Duvall, WA
National Provider Identifier
1205971835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00033861
- Legal business name
- METCALF CHIROPRACTIC HEALTH CENTER, INC
- Practice address
- 15435 Main St NE
Suite 101
Duvall, WA 98019-8576 - Phone
- (425) 844-6428
- Fax
- (425) 788-7824
- NPI assigned
- Feb 21, 2007
- Last updated
- Sep 30, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey Paul Metcalf, DC
- Title
- Owner, Chiropractor
- Phone
- (425) 844-6428
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00033861 | WA | Primary |
Addresses
Primary practice location
15435 Main St NE
Suite 101
Duvall, WA 98019-8576
Mailing address
PO Box 507
Duvall, WA 98019-0507
Phone (425) 844-6428
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128018128020 | Other | WA | INSURANCE |
| 531130544 | Other | WA | INSURANCE |
| 2947555 | Other | WA | L&I |
| 53-1130544 | Other | WA | REGENCE |
| 531130544 5311ME | Other | WA | PREMERA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Duvall, WA
- NPI 1659432276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412035200000",
"number": "1205971835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 507",
"city": "DUVALL",
"state": "WA",
"postal_code": "980190507",
"telephone_number": "425-844-6428",
"fax_number": "425-788-7824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15435 MAIN ST NE",
"address_2": "SUITE 101",
"city": "DUVALL",
"state": "WA",
"postal_code": "980198576",
"telephone_number": "425-844-6428",
"fax_number": "425-788-7824"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METCALF CHIROPRACTIC HEALTH CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-21",
"last_updated": "2014-09-30",
"status": "A",
"authorized_official_last_name": "METCALF",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "OWNER, CHIROPRACTOR",
"authorized_official_telephone_number": "425-844-6428",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00033861",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INSURANCE",
"identifier": "128018128020",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INSURANCE",
"identifier": "531130544",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "2947555",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "53-1130544",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREMERA",
"identifier": "531130544 5311ME",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Duvall, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.