Active NPI
Active Spines Inc.
Doing business as Active Spines Chiropractic
- Health Service Clinic/Center
- Bellevue, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 602977126
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shao-Hao Cheng, D.C.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Bellevue, WA
- NPI 1548214356
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.