Individual provider Active NPI

Andrew Michael Newman, D.C.

  • Sports Physician Chiropractor
  • Bonney Lake, WA
National Provider Identifier
1255779716
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
CH60345251 Issued in WA
Practice address
18275 Sr 410 E Ste 101
Bonney Lake, WA 98391-6917
Phone
(253) 948-2757
Fax
(253) 248-0228
NPI assigned
Jun 6, 2013
Last updated
Jan 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 60345251 WA
Sports Physician Chiropractor 111NS0005X CH60345251 WA Primary

Addresses

Primary practice location

18275 Sr 410 E Ste 101
Bonney Lake, WA 98391-6917

Mailing address

18275 Sr 410 E Ste 101
Bonney Lake, WA 98391-6917
Phone (253) 948-2757

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200224001054 WA Practitioner - Chiropractic 0648607176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18275 Sr 410
Suite 101
Bonney Lake, WA 98391-6917
Phone (253) 948-2757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 60345251WAMDChiropractor
CH60345251WAMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Newman Clinics, PLLC Chiropractor CurrentSince Dec 14, 2019 Accepting new patients

Locations

18275 Sr 410 E
Ste 101
Bonney Lake, WA 98391
Phone (253) 948-2757

2323 E Pioneer
Ste D
Puyallup, WA 98372

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1255779716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18275 SR 410 E STE 101",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983916917",
            "telephone_number": "253-948-2757",
            "fax_number": "253-248-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18275 SR 410 E STE 101",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983916917",
            "telephone_number": "253-948-2757",
            "fax_number": "253-248-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "ANDREW",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-06",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH 60345251",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "WA",
            "license": "CH60345251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonney Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; 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.