Individual provider Active NPI

Anthony Gutierrez III, D.C.

  • Chiropractor
  • Arlington, WA
National Provider Identifier
1548301369
Registry record updated Oct 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3195 Issued in WA
Practice address
3704 172ND St NE
Suite N
Arlington, WA 98223-6336
Phone
(360) 658-3818
Fax
(360) 651-2344
NPI assigned
Feb 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3195 WA Primary
Chiropractor 111N00000X 2236 SC

Addresses

Primary practice location

3704 172ND St NE
Suite N
Arlington, WA 98223-6336

Mailing address

3704 172ND St NE
Ste N
Arlington, WA 98223-6336
Phone (360) 688-3818

Other identifiers 3

IdentifierTypeStateIssuer
1685GUOtherWAREGENCE
104848OtherWAL & I
911868835OtherWACORPOATE TAX ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130513000648 WA Practitioner - Chiropractic 2365689247 Practice locations: Arlington, WA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3704 172ND St NE
Suite N
Arlington, WA 98223-6336
Phone (360) 658-3818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3195WAMDChiropractor
2236SCMDIn Home Supportive Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Nothwest Chiropractic Center North Chiropractor Past 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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508716800000",
    "number": "1548301369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3704 172ND ST NE",
            "address_2": "STE N",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982236336",
            "telephone_number": "360-688-3818",
            "fax_number": "360-651-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3704 172ND ST NE",
            "address_2": "SUITE N",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982236336",
            "telephone_number": "360-658-3818",
            "fax_number": "360-651-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2017-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "3195",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2236",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "1685GU",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "104848",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPOATE TAX ID",
            "identifier": "911868835",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; 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.