Individual provider Active NPI

Thomas E Necela, DC

  • Chiropractor
  • Puyallup, WA
National Provider Identifier
1487706594
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00033983 Issued in WA
Practice address
11803 101St Ave E
Suite 100
Puyallup, WA 98373
Phone
(253) 435-1285
Fax
(253) 445-8632
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00033983 WA Primary

Addresses

Primary practice location

11803 101St Ave E
Suite 100
Puyallup, WA 98373

Mailing address

PO Box 731689
Puyallup, WA 98373
Phone (253) 435-1285

Other identifiers 2

IdentifierTypeStateIssuer
0147032OtherWADENTAY L&I
P00248281OtherWARAILROAD MEDICARE

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH00033983WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rody Chiropractic Clinic Inc. Chiropractor PastSince Nov 14, 2002 Accepting new patients
Rody Chiropractic LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487706594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 731689",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "98373",
            "telephone_number": "253-435-1285",
            "fax_number": "253-445-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11803 101ST AVE E",
            "address_2": "SUITE 100",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "98373",
            "telephone_number": "253-435-1285",
            "fax_number": "253-445-8632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NECELA",
        "first_name": "THOMAS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00033983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAY L&I",
            "identifier": "0147032",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00248281",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.