NPIMap

Organization Active NPI

Webber Chiropractic Sports Clinic, Inc

  • Chiropractor
  • Kirkland, WA
National Provider Identifier
1225269079
Registry record updated Jul 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WEBBER CHIROPRACTIC SPORTS CLINIC, INC
Practice address
10517 NE 38TH PL
Building #11
Kirkland, WA 98033-7926
Phone
(425) 889-2882
Fax
(425) 889-0368
NPI assigned
Jul 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2009

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

Authorized official

Name
Dr. Mark Stephen Webber, D.C.NPI 1700958766
Title
President
Phone
(425) 889-2882

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X WA Primary

Addresses

Primary practice location

10517 NE 38TH PL
Building #11
Kirkland, WA 98033-7926

Mailing address

10517 NE 38TH PL
Building #11
Kirkland, WA 98033-7926
Phone (425) 889-2882

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090826000406 WA Part B Supplier - Clinic/Group Practice 8729133889 Receives reassigned benefits from 2 practitioners
Practice locations: Kirkland, WA

National Provider Directory

National Provider Directory

Locations

10517 NE 38th Pl
Bldg 11
Kirkland, WA 98033
Phone (425) 455-2225

10517 NE 38th Pl
Kirkland, WA 98033
Phone (425) 350-8844

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248739200000",
    "number": "1225269079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10517 NE 38TH PL",
            "address_2": "BUILDING #11",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337926",
            "telephone_number": "425-889-2882",
            "fax_number": "425-889-0368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10517 NE 38TH PL",
            "address_2": "BUILDING #11",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337926",
            "telephone_number": "425-889-2882",
            "fax_number": "425-889-0368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBBER CHIROPRACTIC SPORTS CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-28",
        "last_updated": "2009-07-28",
        "status": "A",
        "authorized_official_last_name": "WEBBER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-889-2882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; 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.