Organization Active NPI

Lew C Estabrook DC

Doing business as Northwest Chiropractic Center PLLC

  • Chiropractor
  • Kirkland, WA
National Provider Identifier
1366581944
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LEW C ESTABROOK DC
Doing business as
Northwest Chiropractic Center PLLC
Practice address
11821 NE 128TH St Ste B
Kirkland, WA 98034-7210
Phone
(425) 814-2800
Fax
(425) 823-0882
NPI assigned
Feb 6, 2007
Last updated
Nov 1, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Authorized official

Name
Lew C Estabrook, DCNPI 1801889951
Title
Owner
Phone
(425) 814-2800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

11821 NE 128TH St Ste B
Kirkland, WA 98034-7210

Mailing address

11821 NE 128TH St Ste B
Kirkland, WA 98034-7210
Phone (425) 814-2800

Other identifiers 2

IdentifierTypeStateIssuer
0118558OtherWAL&I GROUP NUMBER
2004943MedicaidWA

Other names 1

  • Northwest Chiropractic Center PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

14841 179th Ave SE
Ste 320
Monroe, WA 98272
Phone (360) 321-1022

Practitioners & affiliated clinicians

Practitioners 7

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": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1366581944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11821 NE 128TH ST STE B",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980347210",
            "telephone_number": "425-814-2800",
            "fax_number": "425-823-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11821 NE 128TH ST STE B",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980347210",
            "telephone_number": "425-814-2800",
            "fax_number": "425-823-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEW C ESTABROOK DC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "ESTABROOK",
        "authorized_official_first_name": "LEW",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-814-2800",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I GROUP NUMBER",
            "identifier": "0118558",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2004943",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Chiropractic Center PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.