Active NPI
Evan Ray Bandy, DC
- Chiropractor
- Kent, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH61286101
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| CH61286101 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Romero P.S., Inc. | Chiropractor | Past | Accepting new patients |
| Chiropractic Physicians Inc., P.S. | Chiropractor | Past | 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.
-
- Chiropractor
- Tacoma, WA
- NPI 1386719243
-
- Chiropractor
- Kent, WA
- NPI 1952460305
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.