Individual provider Active NPI

Namir A Moussa, DC

  • Chiropractor
  • Bellevue, WA
National Provider Identifier
1225758428
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH61069970 Issued in WA
Practice address
1551 116TH Ave NE Ste C
Bellevue, WA 98004-3814
Phone
(425) 679-6048
NPI assigned
Aug 30, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH61069970 WA Primary

Addresses

Primary practice location

1551 116TH Ave NE Ste C
Bellevue, WA 98004-3814

Mailing address

1551 116TH Ave NE Ste C
Bellevue, WA 98004-3814
Phone (425) 679-6048

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260622002486 WA Practitioner - Chiropractic 7315410313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8826 NE 173Rd PL
Unit D
Bothell, WA 98011-5038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH61069970WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific North Chiropractic Inc. Chiropractor CurrentSince Oct 9, 2022 Accepting new patients

Locations

1551 116th Ave NE
Ste C
Bellevue, WA 98004
Phone (425) 455-3500

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": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1225758428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 116TH AVE NE STE C",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043814",
            "telephone_number": "425-679-6048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 116TH AVE NE STE C",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043814",
            "telephone_number": "425-679-6048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUSSA",
        "first_name": "NAMIR",
        "middle_name": "A",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61069970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.