Organization Active NPI

Bastron Chiropractic Inc

  • Chiropractor
  • Federal Way, WA
National Provider Identifier
1306002670
Registry record updated Sep 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0002493 Issued in WA
Legal business name
BASTRON CHIROPRACTIC INC
Practice address
32123 1St Ave S Ste A4
Federal Way, WA 98003-5720
Phone
(253) 838-5385
Fax
(253) 838-4540
NPI assigned
Aug 5, 2008
Last updated
Sep 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2008

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

Authorized official

Name
Dr. Michael Keith Bastron, D.C.NPI 1023030962
Title
Owner
Phone
(253) 838-5385

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
Chiropractor 111N00000X CH0002493 WA Primary

Addresses

Primary practice location

32123 1St Ave S Ste A4
Federal Way, WA 98003-5720

Mailing address

32123 1St Ave S Ste A4
Federal Way, WA 98003-5720
Phone (253) 838-5385

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080917000800 WA Part B Supplier - Clinic/Group Practice 9830266808 Receives reassigned benefits from 1 practitioner
Practice locations: Federal Way, WA

National Provider Directory

National Provider Directory

Locations

1010 S 336th St
Ste 120
Federal Way, WA 98003
Phone (253) 874-9001

31919 1st Ave S
Ste 100
Federal Way, WA 98003
Phone (253) 838-5385

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": "1217894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222387200000",
    "number": "1306002670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32123 1ST AVE S STE A4",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035720",
            "telephone_number": "253-838-5385",
            "fax_number": "253-838-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32123 1ST AVE S STE A4",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035720",
            "telephone_number": "253-838-5385",
            "fax_number": "253-838-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASTRON CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-05",
        "last_updated": "2008-09-26",
        "status": "A",
        "authorized_official_last_name": "BASTRON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-838-5385",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH0002493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; 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.