NPIMap

Organization Active NPI

Brent a Linse PS

  • Chiropractor
  • Tacoma, WA
National Provider Identifier
1265101323
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BRENT A LINSE PS
Practice address
5216 72ND St E
Tacoma, WA 98443-2722
Phone
(253) 537-8181
NPI assigned
Sep 10, 2021
Organization subpart
Yes
Parent organization
BRENT A LINSE PSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Authorized official

Name
Brent A Linse, DCNPI 1285794453
Title
Owner/Chiropractor
Phone
(253) 537-8181

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: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X

Addresses

Primary practice location

5216 72ND St E
Tacoma, WA 98443-2722

Mailing address

PO Box 146
Puyallup, WA 98371-0015
Phone (253) 732-7224

Other identifiers 1

IdentifierTypeStateIssuer
1155799OtherWAREGENCE ID

Other names 1

  • Canyon Chiropractic Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220110001798 WA Part B Supplier - Clinic/Group Practice 9931591690 Receives reassigned benefits from 1 practitioner
Practice locations: Tacoma, WA

National Provider Directory

National Provider Directory
Part of
Brent a Linse PS

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": "1631232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1265101323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 146",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983710015",
            "telephone_number": "253-732-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5216 72ND ST E",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984432722",
            "telephone_number": "253-537-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT A LINSE PS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRENT A LINSE PS",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "LINSE",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "253-537-8181",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE ID",
            "identifier": "1155799",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canyon Chiropractic Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Canyon Chiropractic Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.