Individual provider Active NPI

Peter Choo, DC

  • Chiropractor
  • Mountlake Terrace, WA
National Provider Identifier
1417430349
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR.0007881 Issued in CO
Practice address
6603 220TH St SW Ste 102
Mountlake Terrace, WA 98043-2186
Phone
(425) 247-3231
NPI assigned
Sep 6, 2018
Last updated
Oct 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHR.0007881 CO Primary

Addresses

Primary practice location

6603 220TH St SW Ste 102
Mountlake Terrace, WA 98043-2186

Mailing address

6603 220TH St SW Ste 102
Mountlake Terrace, WA 98043-2186

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251231003839 CO Practitioner - Chiropractic 7113351594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Trailhead Chiropractic PLLCGroup PAC ID 3971831702, 3 clinicians

Practice addresses (Care Compare)

100 Midland Ave
Unit 280
Glenwood Springs, CO 81601-9809
Phone (970) 456-4562

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHR.0007881COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Trailhead Chiropractic PLLC Chiropractor CurrentSince Nov 3, 2025 Accepting new patients
Olympic Pain Solutions CurrentSince Dec 6, 2020 Accepting new patients

Locations

100 Midland Ave
Unit 280
Glenwood Springs, CO 81601
Phone (970) 456-4562

6603 220th St SW
Ste 102
Mountlake Terrace, WA 98043
Phone (425) 247-3231

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1417430349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6603 220TH ST SW STE 102",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6603 220TH ST SW STE 102",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432186",
            "telephone_number": "425-247-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOO",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-06",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0007881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountlake Terrace, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.