Individual provider Active NPI

Shane Walton, D.C.

  • Chiropractor
  • Seattle, WA
National Provider Identifier
1386003234
Registry record updated Feb 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60628407 Issued in WA
Practice address
1100 NE 47TH St Ste 101
Seattle, WA 98105-4685
Phone
(206) 527-0123
NPI assigned
Feb 21, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60628407 WA Primary

Addresses

Primary practice location

1100 NE 47TH St Ste 101
Seattle, WA 98105-4685

Mailing address

1100 NE 47TH St Ste 101
Seattle, WA 98105-4685

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170718001809 WA Practitioner - Chiropractic 0446520852 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3514 Fremont Ave N
Seattle, WA 98103-8814
Phone (206) 634-1300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
KSW, LLC CurrentSince Nov 21, 2018 Accepting new patients
SCR PS Chiropractor CurrentSince May 27, 2017 Accepting new patients
Dech Chiropractor PastSince Apr 23, 2023 Accepting new patients

Locations

7503 196th St SW
Lynnwood, WA 98036
Phone (425) 775-8000

1100 NE 47th St
Ste 101
Seattle, WA 98105
Phone (206) 527-0123

3514 Fremont Ave N
Seattle, WA 98103
Phone (206) 634-1300

Organizations & group practices 3

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": "1456012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456012800000",
    "number": "1386003234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 NE 47TH ST STE 101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NE 47TH ST STE 101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054685",
            "telephone_number": "206-527-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "SHANE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-21",
        "last_updated": "2016-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60628407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2016; 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.