Organization Active NPI

Bayshore Chiro PC

  • Chiropractor
  • Oak Harbor, WA
National Provider Identifier
1508630740
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BAYSHORE CHIRO PC
Practice address
32650 Sr 20 Ste D101
Oak Harbor, WA 98277
Phone
(360) 675-1066
NPI assigned
Nov 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Authorized official

Name
Maximilian Bicoff, DCNPI 1366831257
Title
Manager/Doctor
Phone
(425) 229-7232

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 Primary

Addresses

Primary practice location

32650 Sr 20 Ste D101
Oak Harbor, WA 98277

Mailing address

32650 Sr 20 Ste D101
Oak Harbor, WA 98277
Phone (360) 675-1066

Other names 1

  • Bayshore Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240212001837 WA Part B Supplier - Clinic/Group Practice 1759724271 Receives reassigned benefits from 1 practitioner
Practice locations: Oak Harbor, WA

National Provider Directory

National Provider Directory

Locations

1121 SE Dock St
Oak Harbor, WA 98277
Phone (360) 675-1066

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": "1699401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1508630740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32650 SR 20 STE D101",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "98277",
            "telephone_number": "360-675-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32650 SR 20 STE D101",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "98277",
            "telephone_number": "360-675-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSHORE CHIRO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-08",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-02",
        "status": "A",
        "authorized_official_last_name": "BICOFF",
        "authorized_official_first_name": "MAXIMILIAN",
        "authorized_official_title_or_position": "MANAGER/DOCTOR",
        "authorized_official_telephone_number": "425-229-7232",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayshore Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bayshore Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.