Individual provider Active NPI

Evan Ray Bandy, DC

  • Chiropractor
  • Kent, WA
National Provider Identifier
1366154114
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH61286101 Issued in WA
Practice address
802 Central Ave S
Kent, WA 98032-6107
Phone
(253) 859-2940
Fax
(253) 813-8484
NPI assigned
Dec 22, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH61286101 WA Primary

Addresses

Primary practice location

802 Central Ave S
Kent, WA 98032-6107

Mailing address

7047 S D St Ste a
Tacoma, WA 98408-6131
Phone (253) 471-8986

Other practice location 1

33919 9th Ave S Ste 101A
Federal Way, WA 98003-6739
Phone (253) 874-0561

Other practice location 2

7047 S D St Ste A
Tacoma, WA 98408-6131
Phone (253) 471-8986

Other practice location 3

629 SW 153rd St
Burien, WA 98166-2216
Phone (206) 556-2106

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
CH61286101WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Romero P.S., Inc. Chiropractor PastSince Dec 28, 2022 Accepting new patients
Chiropractic Physicians Inc., P.S. Chiropractor PastSince Dec 28, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1671667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1366154114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7047 S D ST STE A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984086131",
            "telephone_number": "253-471-8986",
            "fax_number": "253-471-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 CENTRAL AVE S",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980326107",
            "telephone_number": "253-859-2940",
            "fax_number": "253-813-8484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33919 9th Ave S Ste 101A",
            "address_purpose": "LOCATION",
            "city": "Federal Way",
            "state": "WA",
            "postal_code": "980036739",
            "country_code": "US",
            "telephone_number": "253-874-0561",
            "fax_number": "253-252-2954",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7047 S D St Ste A",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984086131",
            "country_code": "US",
            "telephone_number": "253-471-8986",
            "fax_number": "253-471-8987",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "629 SW 153rd St",
            "address_purpose": "LOCATION",
            "city": "Burien",
            "state": "WA",
            "postal_code": "981662216",
            "country_code": "US",
            "telephone_number": "206-556-2106",
            "fax_number": "206-556-2118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANDY",
        "first_name": "EVAN",
        "middle_name": "RAY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-22",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61286101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; 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.