Individual provider Active NPI

Brent Aaron Linse, D.C.

  • Chiropractor
  • Tacoma, WA
National Provider Identifier
1285794453
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00003206 Issued in WA
Practice address
5216 72ND St E
Tacoma, WA 98443-2722
Phone
(253) 537-8181
Fax
(253) 537-8181
NPI assigned
Dec 11, 2006
Last updated
Aug 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00003206 WA Primary

Addresses

Primary practice location

5216 72ND St E
Tacoma, WA 98443-2722

Mailing address

PO Box 146
Puyallup, WA 98371-0015
Phone (253) 537-8181

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220110001743 WA Practitioner - Chiropractic 0941692602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5216 72ND St E
Tacoma, WA 98443-2722
Phone (253) 537-8181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brent a Linse PS Chiropractor CurrentSince Oct 6, 2021 Accepting new patients
Canyon Chiropractic Chiropractor CurrentSince Aug 28, 2021 Accepting new patients
Center Street Chiropractic, P.S. Chiropractor Past Accepting new patients

Locations

5216 72nd St E
Tacoma, WA 98443
Phone (253) 380-3012

Organizations & group practices 3

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1285794453",
    "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": "253-537-8181",
            "fax_number": "253-537-8181"
        },
        {
            "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",
            "fax_number": "253-537-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINSE",
        "first_name": "BRENT",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 19, 2021; 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.