Jared Michael Andrews, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00034665 Issued in WA

Practice address

7207 265TH St NW Ste 102
Stanwood, WA 98292-6274

Phone

(360) 629-6544

Fax

(360) 629-4520

NPI assigned

Jan 4, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Village Chiropractic Clinic LLC

  • Chiropractor
  • Stanwood, WA
  • NPI 1689185217
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1366599979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7207 265TH ST NW STE 102",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982926274",
            "telephone_number": "360-629-6544",
            "fax_number": "360-629-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7207 265TH ST NW STE 102",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982926274",
            "telephone_number": "360-629-6544",
            "fax_number": "360-629-4520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2627 Capitol Mall Dr SW Ste B3A",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985028696",
            "country_code": "US",
            "telephone_number": "360-786-6322",
            "fax_number": "360-786-5677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "JARED",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1366599979",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "G8868295",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• American Behavioral Healt Systems, Inc.
• Gary Rhett Andelin, DO
• Matthew Robert Andelin, DMD
• Amanda Ruth Anderson, L.M.P
• Jill M Anderson, OTR/L, CHT
• Maria Socorro Apodaca
• Mylene Zuniga Arboleda, RN
• Maria Christina Arce
• Rachel Armstrong
• Juan Arreguin

• Chiropractor in Stanwood, WA
• Providers in Stanwood, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; 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.