NPIMap

Organization Active NPI

Starbright Tamarack

Doing business as Seatac Spine and Wellness

  • Chiropractor
  • Seatac, WA
National Provider Identifier
1447652870
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60264847 Issued in WA
Legal business name
STARBRIGHT TAMARACK
Doing business as
Seatac Spine and Wellness
Practice address
16704 International Blvd
Seatac, WA 98188-3116
Phone
(206) 246-8830
Fax
(206) 244-4690
NPI assigned
Sep 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Authorized official

Name
Dr. Rosalind E Placke, D.C.NPI 1841562162
Title
Owner
Phone
(563) 579-9918

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH60264847 WA Primary

Addresses

Primary practice location

16704 International Blvd
Seatac, WA 98188-3116

Mailing address

21802 Sweeney Rd SE
Maple Valley, WA 98038-6415
Phone (563) 579-9918

Other names 1

  • Seatac Spine and Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141031000603 WA Part B Supplier - Clinic/Group Practice 7012138233 Receives reassigned benefits from 2 practitioners
Practice locations: Federal Way, WA; Seatac, WA

National Provider Directory

National Provider Directory

Locations

500 S 336th St
Ste 110
Federal Way, WA 98003
Phone (253) 874-0250

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": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1447652870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21802 SWEENEY RD SE",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980386415",
            "telephone_number": "563-579-9918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16704 INTERNATIONAL BLVD",
            "city": "SEATAC",
            "state": "WA",
            "postal_code": "981883116",
            "telephone_number": "206-246-8830",
            "fax_number": "206-244-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARBRIGHT TAMARACK",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "PLACKE",
        "authorized_official_first_name": "ROSALIND",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-579-9918",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60264847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seatac Spine and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seatac, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.