Individual provider Active NPI

Shao Hao Cheng, CHIROPRACTOR

  • Chiropractor
  • Bellevue, WA
National Provider Identifier
1548214356
Registry record updated Jul 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034491 Issued in WA
Practice address
1530 Bellevue Way SE Ste C
Bellevue, WA 98004-7110
Phone
(425) 522-2508
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00034491 WA Primary

Addresses

Primary practice location

1530 Bellevue Way SE Ste C
Bellevue, WA 98004-7110

Mailing address

1530 Bellevue Way SE Ste C
Bellevue, WA 98004-7110
Phone (425) 522-2508

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071211000655 WA Practitioner - Chiropractic 4183723356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1530 Bellevue Way SE C
Bellevue, WA 98004-7110
Phone (425) 818-0086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH00034491WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Active Spines Inc. CurrentSince May 1, 2011 Accepting new patients

Locations

1530 Bellevue Way SE
Ste C
Bellevue, WA 98004
Phone (425) 455-2225

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341532800000",
    "number": "1548214356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 BELLEVUE WAY SE STE C",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980047110",
            "telephone_number": "425-522-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 BELLEVUE WAY SE STE C",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980047110",
            "telephone_number": "425-522-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENG",
        "first_name": "SHAO HAO",
        "name_prefix": "Dr.",
        "credential": "CHIROPRACTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2012-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2012; 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.