Active NPI
Cathy Ann Bangerter, D.C.
- Orthopedic Chiropractor
- Bothell, WA
National Provider Identifier
1508923277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- CH00002308
- Practice address
- 10116 Main St Ste B2
Bothell, WA 98011-3449 - Phone
- (425) 485-1464
- NPI assigned
- Jan 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | CH00002308 | WA | Primary |
Addresses
Primary practice location
10116 Main St Ste B2
Bothell, WA 98011-3449
Mailing address
10116 Main St Ste B2
Bothell, WA 98011-3449
Phone (425) 485-1464
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 69092 | Other | WA | L & I |
| BA5407 | Other | WA | REGENCE NUMBER |
| 2030039 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110512000068 | WA | Practitioner - Chiropractic | 2365628179 | Practice locations: Bothell, WA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
10116 Main St
Bothell, WA 98011-3449
Phone (425) 485-1464
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH00002308 | WA | MD | Orthopedic Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health in Action Chiropractic | Current | Accepting new patients |
Locations
10116 Main St
Ste B2
Bothell, WA 98011
Phone (425) 485-1464
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.
-
- Chiropractor
- Bothell, WA
- NPI 1336072826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649116800000",
"number": "1508923277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10116 MAIN ST STE B2",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980113449",
"telephone_number": "425-485-1464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10116 MAIN ST STE B2",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980113449",
"telephone_number": "425-485-1464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANGERTER",
"first_name": "CATHY",
"middle_name": "ANN",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2022-04-05",
"certification_date": "2022-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "WA",
"license": "CH00002308",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "69092",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE NUMBER",
"identifier": "BA5407",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2030039",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bothell, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.