Individual provider Active NPI

Jared Thomas Langley, DC

  • Chiropractor
  • Tukwila, WA
National Provider Identifier
1295618700
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR.CH.70018497 Issued in WA
Practice address
662 Strander Blvd
Tukwila, WA 98188-2923
Phone
(425) 204-1575
NPI assigned
Jul 30, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR.CH.70018497 WA Primary

Addresses

Primary practice location

662 Strander Blvd
Tukwila, WA 98188-2923

Mailing address

17645 NE 69TH CT Unit W313
Redmond, WA 98052-2077
Phone (316) 737-1113

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251125000539 WA Practitioner - Chiropractic 5395237523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Virk Chiropractic Inc PSGroup PAC ID 1153561220, 2 clinicians

Practice addresses (Care Compare)

662 Strander Blvd
Tukwila, WA 98188-2923
Phone (425) 204-1575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR.CH.70018497WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Virk Chiropractic Inc. PS Chiropractor CurrentSince Aug 24, 2025 Accepting new patients

Locations

662 Strander Blvd
Tukwila, WA 98188
Phone (425) 204-1575

Organizations & group practices 1

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": "1753833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1295618700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17645 NE 69TH CT UNIT W313",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980522077",
            "telephone_number": "316-737-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "662 STRANDER BLVD",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882923",
            "telephone_number": "425-204-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGLEY",
        "first_name": "JARED",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CHIR.CH.70018497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tukwila, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.