Organization Active NPI

Optimum Acupuncture & Chiropractic Clinic Inc

  • Chiropractor
  • Seattle, WA
National Provider Identifier
1235474974
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0004419084 Issued in WA
Legal business name
OPTIMUM ACUPUNCTURE & CHIROPRACTIC CLINIC INC
Practice address
506 NE 65TH St
Seattle, WA 98115-6412
Phone
(206) 547-3127
Fax
(206) 547-8525
NPI assigned
Dec 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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

Authorized official

Name
Christine Alaine Meshew, D.C., M.A.NPI 1881756070
Title
Owner
Phone
(206) 399-9303

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 0004419084 WA Primary
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X 0009829807 WA

Addresses

Primary practice location

506 NE 65TH St
Seattle, WA 98115-6412

Mailing address

506 NE 65TH St
Seattle, WA 98115-6412
Phone (206) 547-3127

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130410000292 WA Part B Supplier - Clinic/Group Practice 1254577620 Receives reassigned benefits from 1 practitioner
Practice locations: Shoreline, WA

National Provider Directory

National Provider Directory

Locations

506 NE 65th St
Seattle, WA 98115
Phone (206) 547-3127

Practitioners & affiliated clinicians

Practitioners 1

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": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1235474974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 NE 65TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981156412",
            "telephone_number": "206-547-3127",
            "fax_number": "206-547-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 NE 65TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981156412",
            "telephone_number": "206-547-3127",
            "fax_number": "206-547-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM ACUPUNCTURE & CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-06",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "MESHEW",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "ALAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-399-9303",
        "authorized_official_credential": "D.C., M.A."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "0004419084",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "0009829807",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Dec 6, 2012; 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.