Individual provider Active NPI

Robin Erich Thomas, D.C.

  • Chiropractor
  • Sequim, WA
National Provider Identifier
1508256298
Registry record updated Jan 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH.60535610 Issued in WA
Practice address
415 N Sequim Ave
Sequim, WA 98382-3460
Phone
(360) 504-3376
Fax
(360) 504-3357
NPI assigned
Feb 2, 2015
Last updated
Jan 15, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH.60535610 WA Primary

Addresses

Primary practice location

415 N Sequim Ave
Sequim, WA 98382-3460

Mailing address

415 N Sequim Ave
Sequim, WA 98382-3460
Phone (360) 504-3376

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160113001958 WA Practitioner - Chiropractic 7416259056 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Sequim Family Chiropractic CenterGroup PAC ID 9335423805, 2 clinicians

Practice addresses (Care Compare)

415 N Sequim Ave
Sequim, WA 98382-3460
Phone (360) 504-3376

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH.60535610WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph a Urquia PS Chiropractor CurrentSince Dec 17, 2015 Accepting new patients
Sequim Family Chiropractic Center Chiropractor CurrentSince Dec 20, 2016 Accepting new patients

Locations

1111 E Front St
Port Angeles, WA 98362
Phone (360) 452-6888

415 N Sequim Ave
Sequim, WA 98382
Phone (360) 504-3376

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": "1422835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515974400000",
    "number": "1508256298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N SEQUIM AVE",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823460",
            "telephone_number": "360-504-3376",
            "fax_number": "360-504-3357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N SEQUIM AVE",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823460",
            "telephone_number": "360-504-3376",
            "fax_number": "360-504-3357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ROBIN",
        "middle_name": "ERICH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-02",
        "last_updated": "2018-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH.60535610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sequim, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2018; 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.