NPIMap

Organization Active NPI

Swanson & Seepersad Chiropractic, P.S.

  • Chiropractor
  • Seattle, WA
National Provider Identifier
1396972287
Registry record updated Jun 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034667 Issued in WA
Legal business name
SWANSON & SEEPERSAD CHIROPRACTIC, P.S.
Practice address
3703 California Ave SW
Suite a/B
Seattle, WA 98116-3771
Phone
(206) 937-3965
Fax
(206) 937-4695
NPI assigned
Jun 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2009

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

Authorized official

Name
Dr. Justin Matthew Swanson, D.C.NPI 1003960691
Title
Chiropractor/President
Phone
(253) 205-4592

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH00034667 WA Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH00034682 WA

Addresses

Primary practice location

3703 California Ave SW
Suite a/B
Seattle, WA 98116-3771

Mailing address

3703 California Ave SW
Suite a/B
Seattle, WA 98116-3771
Phone (206) 937-3965

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100217000199 WA Part B Supplier - Clinic/Group Practice 0840334611 Receives reassigned benefits from 2 practitioners
Practice locations: Seattle, WA

National Provider Directory

National Provider Directory

Locations

3703 California Ave SW
Ste A
Seattle, WA 98116
Phone (206) 937-3965

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1396972287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3703 CALIFORNIA AVE SW",
            "address_2": "SUITE A/B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981163771",
            "telephone_number": "206-937-3965",
            "fax_number": "206-937-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3703 CALIFORNIA AVE SW",
            "address_2": "SUITE A/B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981163771",
            "telephone_number": "206-937-3965",
            "fax_number": "206-937-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWANSON & SEEPERSAD CHIROPRACTIC, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-17",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "CHIROPRACTOR/PRESIDENT",
        "authorized_official_telephone_number": "253-205-4592",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034667",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034682",
            "primary": false
        }
    ],
    "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 Jun 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.