NPIMap

Organization Active NPI

Master Group LLC

  • Chiropractor
  • Bellevue, WA
National Provider Identifier
1386976918
Registry record updated Feb 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MASTER GROUP LLC
Practice address
10650 NE 9TH PL
Unit 1821
Bellevue, WA 98004-5012
Phone
(425) 999-9633
Fax
(888) 899-4360
NPI assigned
Feb 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2010

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

Authorized official

Name
Dr. Kevin L Polzin, DC
Title
Owner
Phone
(425) 999-9633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

10650 NE 9TH PL
Unit 1821
Bellevue, WA 98004-5012

Mailing address

10650 NE 9TH PL
Unit 1821
Bellevue, WA 98004-5012
Phone (425) 999-9633

Other names 1

  • The Center for Chronic Pain Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265587200000",
    "number": "1386976918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10650 NE 9TH PL",
            "address_2": "UNIT 1821",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045012",
            "telephone_number": "425-999-9633",
            "fax_number": "888-899-4360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10650 NE 9TH PL",
            "address_2": "UNIT 1821",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045012",
            "telephone_number": "425-999-9633",
            "fax_number": "888-899-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTER GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-08",
        "last_updated": "2010-02-08",
        "status": "A",
        "authorized_official_last_name": "POLZIN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-999-9633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center for Chronic Pain",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; 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.