Individual provider Active NPI

Tony Karriem Hemphill, D.C.

  • Chiropractor
  • Seattle, WA
National Provider Identifier
1275699506
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 00034117 Issued in WA
Practice address
2041 E Madison St
Seattle, WA 98122-2959
Phone
(206) 325-1575
Fax
(206) 328-0514
NPI assigned
Dec 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 00034117 WA Primary

Addresses

Primary practice location

2041 E Madison St
Seattle, WA 98122-2959

Mailing address

2041 E Madison St
Seattle, WA 98122-2959
Phone (206) 325-1575

Other identifiers 2

IdentifierTypeStateIssuer
173024OtherWASTATE INDUSTRIAL
2028470MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040609000365 WA Practitioner - Chiropractic 5496738775 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 00034117WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hemphill Chiropractic Clinic, P.S. CurrentSince Oct 20, 2012 Accepting new patients
Seattle Back Clinic P.S.Inc. Chiropractor CurrentSince Oct 10, 2017 Accepting new patients

Locations

365 Renton Center Way SW
Ste F
Renton, WA 98057
Phone (425) 226-7061

367 Rainier Ave S
Ste 54C
Renton, WA 98057
Phone (425) 226-7061

2041 E Madison St
Seattle, WA 98122
Phone (206) 325-1575

Organizations & group practices 2

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": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1275699506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 E MADISON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981222959",
            "telephone_number": "206-325-1575",
            "fax_number": "206-328-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 E MADISON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981222959",
            "telephone_number": "206-325-1575",
            "fax_number": "206-328-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEMPHILL",
        "first_name": "TONY",
        "middle_name": "KARRIEM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH 00034117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE INDUSTRIAL",
            "identifier": "173024",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2028470",
            "state": "WA"
        }
    ],
    "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 Oct 24, 2017; 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.