Individual provider Active NPI

Jian Chao Zhang

  • Massage Therapist
  • Bellevue, WA
National Provider Identifier
1457850950
Registry record updated Feb 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60398425 Issued in WA
Practice address
12505 NE Bel Red Rd Ste 188
Bellevue, WA 98005-2510
Phone
(425) 484-9023
NPI assigned
Feb 9, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA60398425 WA Primary

Addresses

Primary practice location

12505 NE Bel Red Rd Ste 188
Bellevue, WA 98005-2510

Mailing address

12505 NE Bel Red Rd Ste 188
Bellevue, WA 98005-2510
Phone (425) 484-9023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA60398425WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Spine Clinic Corp Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518134400000",
    "number": "1457850950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12505 NE BEL RED RD STE 188",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052510",
            "telephone_number": "425-484-9023",
            "fax_number": "206-309-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12505 NE BEL RED RD STE 188",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052510",
            "telephone_number": "425-484-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "JIAN CHAO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-09",
        "last_updated": "2018-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60398425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 9, 2018; 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.