Individual provider Active NPI

David Eugene Gauthun, D.C.

  • Chiropractor
  • Sequim, WA
National Provider Identifier
1326082017
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2923 Issued in WA
Practice address
20 Lee Chatfield Ave.
Sequim, WA 98382-3593
Phone
(360) 681-4322
Fax
(360) 683-5569
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2923 WA Primary

Addresses

Primary practice location

20 Lee Chatfield Ave.
Sequim, WA 98382-3593

Mailing address

PO Box 2401
Sequim, WA 98382-2401
Phone (360) 681-4322

Other identifiers 1

IdentifierTypeStateIssuer
37037OtherWALABOR & INDUSTRIES

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040319001229 WA Practitioner - Chiropractic 3072403120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1993
Medicare assignment
May accept Medicare assignment
Group practices
Strait Chiropractic PSGroup PAC ID 9234210410, 2 clinicians

Practice addresses (Care Compare)

20 Lee Chatfield Way
Sequim, WA 98382-3593
Phone (360) 681-4322

Merit-based Incentive Payment System (MIPS)

Final score
23.74 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
79.13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2923WAMDChiropractor
025202WAMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Strait Chiropractic P S Chiropractor CurrentSince Jan 3, 1994 Accepting new patients

Locations

20 Lee Chatfield Way
Sequim, WA 98382
Phone (360) 681-4322

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372377600000",
    "number": "1326082017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2401",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983822401",
            "telephone_number": "360-681-4322",
            "fax_number": "360-683-5569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 LEE CHATFIELD AVE.",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823593",
            "telephone_number": "360-681-4322",
            "fax_number": "360-683-5569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUTHUN",
        "first_name": "DAVID",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2013-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "2923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "37037",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sequim, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; 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.