Organization Active NPI

Active Spines Inc.

Doing business as Active Spines Chiropractic

  • Health Service Clinic/Center
  • Bellevue, WA
National Provider Identifier
1295051316
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
602977126 Issued in WA
Legal business name
ACTIVE SPINES INC.
Doing business as
Active Spines Chiropractic
Practice address
1530 Bellevue Way SE
Suite C
Bellevue, WA 98004-7110
Phone
(425) 818-0086
Fax
(425) 818-5224
NPI assigned
Apr 14, 2010
Last updated
Apr 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2010

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

Authorized official

Name
Shao-Hao Cheng, D.C.NPI 1548214356
Title
Owner
Phone
(425) 818-0086

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 602977126 WA Primary

Addresses

Primary practice location

1530 Bellevue Way SE
Suite C
Bellevue, WA 98004-7110

Mailing address

1530 Bellevue Way SE
Suite C
Bellevue, WA 98004-7110
Phone (425) 818-0086

Other names 1

  • Active Spines Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110609000762 WA Part B Supplier - Clinic/Group Practice 1759568256 Receives reassigned benefits from 1 practitioner
Practice locations: Bellevue, WA

National Provider Directory

National Provider Directory

Locations

1530 Bellevue Way SE
Ste C
Bellevue, WA 98004
Phone (425) 818-0086

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271203200000",
    "number": "1295051316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 BELLEVUE WAY SE",
            "address_2": "SUITE C",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980047110",
            "telephone_number": "425-818-0086",
            "fax_number": "425-818-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 BELLEVUE WAY SE",
            "address_2": "SUITE C",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980047110",
            "telephone_number": "425-818-0086",
            "fax_number": "425-818-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE SPINES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-14",
        "last_updated": "2010-04-14",
        "status": "A",
        "authorized_official_last_name": "CHENG",
        "authorized_official_first_name": "SHAO-HAO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-818-0086",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WA",
            "license": "602977126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Spines Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; 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.