Individual provider Active NPI

Jason Lee Sherrell, DC

  • Chiropractor
  • Spokane, WA
National Provider Identifier
1386069409
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH61131051 Issued in WA
Practice address
3809 N Monroe St
Spokane, WA 99205-2853
Phone
(509) 326-3795
NPI assigned
Feb 26, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH61131051 WA Primary
Chiropractor 111N00000X CH12700 FL

Addresses

Primary practice location

3809 N Monroe St
Spokane, WA 99205-2853

Mailing address

3809 N Monroe St
Spokane, WA 99205-2853
Phone (509) 263-3795

Other practice location 1

9720 N Nevada St
Spokane, WA 99218-3412
Phone (509) 464-2273

Other practice location 2

8202 E Tony Ct
Spokane, WA 99217-9257
Phone (509) 251-9366

Other identifiers 2

IdentifierTypeStateIssuer
CH61131051OtherWAWA CHIRO LICENSE NUMBER
TT61158835OtherWACHIROPRACTIC TEMPORARY LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drsherrell@houkchiropractic.com Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210415002911 WA Practitioner - Chiropractic 7719227669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mark WM Houk DC PSGroup PAC ID 1052208758, 9 clinicians

Practice addresses (Care Compare)

9720 N Nevada St
Spokane, WA 99218-3412
Phone (509) 464-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH12700FLMDChiropractor
CH61131051WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mark WM Houk ,D.C. P.S. Chiropractor CurrentSince Apr 1, 2021 Accepting new patients
Houk Chiropractic-Coeur D'Alene P.C. Chiropractor PastSince Mar 1, 2021 Accepting new patients

Locations

3809 N Monroe St
Spokane, WA 99205
Phone (509) 326-3795

9720 N Nevada St
Spokane, WA 99218
Phone (509) 464-2273

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1386069409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 N MONROE ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992052853",
            "telephone_number": "509-263-3795",
            "fax_number": "509-464-0392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3809 N MONROE ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992052853",
            "telephone_number": "509-326-3795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9720 N Nevada St",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992183412",
            "country_code": "US",
            "telephone_number": "509-464-2273",
            "fax_number": "509-464-0392",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8202 E Tony Ct",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992179257",
            "country_code": "US",
            "telephone_number": "509-251-9366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERRELL",
        "first_name": "JASON",
        "middle_name": "LEE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-26",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61131051",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12700",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA CHIRO LICENSE NUMBER",
            "identifier": "CH61131051",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC TEMPORARY LICENSE",
            "identifier": "TT61158835",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drsherrell@houkchiropractic.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Spokane",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "E-mail",
            "address_1": "9720 N Nevada St",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992183412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.