Jason Thomas Green, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH60090924 Issued in WA

Practice address

7726 Center Blvd SE Ste 230
Snoqualmie, WA 98065-8748

Phone

(425) 396-0613

Fax

(425) 396-0614

NPI assigned

Aug 7, 2009

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Cascade Chiropractic, PLLCGroup PAC ID 6709050735, 2 clinicians

Jason Green PLLCGroup PAC ID 3072730126, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Jason Green, PLLC

  dba Optimal Health Chiropractic

  • Chiropractor
  • Snoqualmie, WA
  • NPI 1669893418
  Medicare reassignment Care Compare group NPD Authorized official
• East Cascade Chiropractic, PLLC

  • Chiropractor
  • Cle Elum, WA
  • NPI 1497031058
  Medicare reassignment Care Compare group NPD
• Optimal Health Services Inc PS

  dba Vitality Specific Chiropractic

  • Chiropractor
  • Seattle, WA
  • NPI 1861781221
  NPD (past)

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

{
    "created_epoch": "1249603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1275764284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7726 CENTER BLVD SE",
            "address_2": "SUITE 230",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980658748",
            "telephone_number": "425-396-0613",
            "fax_number": "425-396-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7726 CENTER BLVD SE STE 230",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980658748",
            "telephone_number": "425-396-0613",
            "fax_number": "425-396-0614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7726 Center Blvd SE",
            "address_2": "Suite 125",
            "address_purpose": "LOCATION",
            "city": "Snoqualmie",
            "state": "WA",
            "postal_code": "980658748",
            "country_code": "US",
            "telephone_number": "425-396-0613",
            "fax_number": "425-396-0614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JASON",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60090924",
            "primary": true
        },
        {
            "code": "111NT0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Thermography",
            "state": "WA",
            "license": "CH60090924",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merrilee Holman Good, PT
• Sara Gorcos, LICSW
• Gaye E Gouk
• Jason Gram, LSWAIC
• John Merle Gray, M.D.
• Sue A Greiling, ARNP
• Gursimran Grewal, MD
• Emily Grochowski
• Betsy Gudz, BA, CDP
• Kendra Gudz, LMP

• Chiropractor in Snoqualmie, WA
• Providers in Snoqualmie, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.