Individual provider Active NPI

Jeremy Stewart, DC

  • Chiropractor
  • Bellevue, WA
National Provider Identifier
1306206701
Registry record updated Feb 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60551537 Issued in WA
Practice address
14100 SE 36TH St Ste 100
Bellevue, WA 98006-1675
Phone
(425) 614-0680
Fax
(425) 614-0679
NPI assigned
Feb 26, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60551537 WA Primary

Addresses

Primary practice location

14100 SE 36TH St Ste 100
Bellevue, WA 98006-1675

Mailing address

14100 SE 36TH St Ste 100
Bellevue, WA 98006-1675
Phone (425) 614-0680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CH60551537WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Oncken Chiropractic Clinic LLC Chiropractor PastSince Nov 13, 2020 Accepting new patients

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": "1456444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456444800000",
    "number": "1306206701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 SE 36TH ST STE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061675",
            "telephone_number": "425-614-0680",
            "fax_number": "425-614-0679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 SE 36TH ST STE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061675",
            "telephone_number": "425-614-0680",
            "fax_number": "425-614-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-26",
        "last_updated": "2016-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60551537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.