NPIMap

Organization Active NPI

Wellness One of Bellevue

  • Specialist
  • Bellevue, WA
National Provider Identifier
1407074792
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA00019552 Issued in WA
Legal business name
WELLNESS ONE OF BELLEVUE
Practice address
14700 NE 8TH St
Suite 115
Bellevue, WA 98007-4115
Phone
(425) 644-8386
Fax
(425) 644-2560
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Steven P Thain, D.C.NPI 1366519332
Title
Owner
Phone
(425) 644-8386

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X MA00019552 WA Primary

Addresses

Primary practice location

14700 NE 8TH St
Suite 115
Bellevue, WA 98007-4115

Mailing address

14700 NE 8TH St
Suite 115
Bellevue, WA 98007-4115
Phone (425) 644-8386

Other identifiers 1

IdentifierTypeStateIssuer
0217622OtherWAL AND I PROVIDER ACCOUNT

Other names 1

  • Wellness One of Eastgate Other name

National Provider Directory

National Provider Directory
Tax ID family
Wellness One of Bellevue2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407074792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14700 NE 8TH ST",
            "address_2": "SUITE 115",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980074115",
            "telephone_number": "425-644-8386",
            "fax_number": "425-644-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14700 NE 8TH ST",
            "address_2": "SUITE 115",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980074115",
            "telephone_number": "425-644-8386",
            "fax_number": "425-644-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS ONE OF BELLEVUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THAIN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-644-8386",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00019552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L AND I PROVIDER ACCOUNT",
            "identifier": "0217622",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness One of Eastgate",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 22, 2020; 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.