Baze Chiropractic, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00001895 Issued in WA

Legal business name

BAZE CHIROPRACTIC, PLLC

Practice address

200 SW 41St St # 100
Renton, WA 98057-4917

Phone

(425) 251-5715

Fax

(425) 251-0703

NPI assigned

Nov 17, 2015

Organization subpart

No

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

Authorized official

Name

Carl Randy BazeNPI 1003959453

Title

President

Phone

(425) 251-5715

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 5

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

• Carl Randolph Baze, D.C.

  • Chiropractor
  • Renton, WA
  • NPI 1003959453
  Medicare reassignment NPD Authorized official
• Tia Maumi Ballard, LMP

  • Specialist
  • Renton, WA
  • NPI 1699042358
  NPD (past)
• Natasha Marie Butters, D.C.

  • Chiropractor
  • Yelm, WA
  • NPI 1083855589
  NPD (past)
• Madison Maley, L.M.P.

  • Massage Therapist
  • Renton, WA
  • NPI 1376925685
  NPD (past)
• Maryanna Yurie Peterson, LMP

  • Massage Therapist
  • Renton, WA
  • NPI 1831679828
  NPD (past)

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1477927291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SW 41ST ST # 100",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980574917",
            "telephone_number": "425-251-5715",
            "fax_number": "425-251-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SW 41ST ST # 100",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980574917",
            "telephone_number": "425-251-5715",
            "fax_number": "425-251-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAZE CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-17",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "BAZE",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "RANDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-251-5715"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamila Bates, LMHC
• Zeenat V. Batstone, LMHC
• Michael J Battaglia II, MD
• Sarah R Batte, PA
• Jamie Baylor
• Carl Randolph Baze, D.C.
• Nataliya Arkadyevna Bazelyuk
• Be the Change Clinic LLC
• Larry Leon Beach, O.D.
• Beatty and Cottam PLLC

• Chiropractor in Renton, WA
• Providers in Renton, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.