NPIMap

Individual provider Active NPI

Brian Thomas O'Hea, D.C.

  • Chiropractor
  • Lynnwood, WA
National Provider Identifier
1215905013
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2279 Issued in WA
Practice address
7503 196TH St SW
Lynnwood, WA 98036-5079
Phone
(425) 775-8000
Fax
(425) 775-8221
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2279 WA Primary

Addresses

Primary practice location

7503 196TH St SW
Lynnwood, WA 98036-5079

Mailing address

7503 196TH St SW
Lynnwood, WA 98036-5079
Phone (425) 775-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060426000120 WA Practitioner - Chiropractic 5395799175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2279WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
SCR PS Chiropractor Past Accepting new patients

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1215905013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7503 196TH ST SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365079",
            "telephone_number": "425-775-8000",
            "fax_number": "425-775-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7503 196TH ST SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365079",
            "telephone_number": "425-775-8000",
            "fax_number": "425-775-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HEA",
        "first_name": "BRIAN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "2279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.

Verify at the official NPI Registry.