Individual provider Active NPI

Gregory Carl Zografos, D.C.

  • Chiropractor
  • Everett, WA
National Provider Identifier
1508911447
Registry record updated Dec 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1729 Issued in WA
Practice address
626 128TH St SW
Suite 103B
Everett, WA 98204-6368
Phone
(425) 513-1880
Fax
(425) 513-6161
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1729 WA Primary
Orthopedic Chiropractor 111NX0800X 1729 WA

Addresses

Primary practice location

626 128TH St SW
Suite 103B
Everett, WA 98204-6368

Mailing address

626 128TH St SW
Suite 103B
Everett, WA 98204-6368
Phone (425) 513-1880

Other identifiers 4

IdentifierTypeStateIssuer
408006001OtherWAGROUP HEALTH
R76533OtherWAREGENCE
0179721OtherWALABOR AND INDUSTRIES
58732OtherWALABOR & INDUSTRIES

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
1729WAMDOrthopedic Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
On-Site Massage, Inc. PastSince Mar 14, 2011 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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450742400000",
    "number": "1508911447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 128TH ST SW",
            "address_2": "SUITE 103B",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982046368",
            "telephone_number": "425-513-1880",
            "fax_number": "425-513-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 128TH ST SW",
            "address_2": "SUITE 103B",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982046368",
            "telephone_number": "425-513-1880",
            "fax_number": "425-513-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOGRAFOS",
        "first_name": "GREGORY",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2015-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "1729",
            "primary": true
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "WA",
            "license": "1729",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH",
            "identifier": "408006001",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "R76533",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0179721",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "58732",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; 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.