Organization Active NPI

Nelson Chiropractic Office, LTD, PS

  • Medical Specialty Clinic/Center
  • Redmond, WA
National Provider Identifier
1568616241
Registry record updated Nov 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
2118 Issued in WA
Legal business name
NELSON CHIROPRACTIC OFFICE, LTD, PS
Practice address
16250 NE 80TH St
Redmond, WA 98052-3821
Phone
(425) 867-1119
Fax
(425) 883-9812
NPI assigned
Nov 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2008

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

Authorized official

Name
Curtis E Nelson, DCNPI 1093839268
Title
President
Phone
(425) 867-1119

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
Medical Specialty Clinic/Center 261QM2500X 2118 WA Primary

Addresses

Primary practice location

16250 NE 80TH St
Redmond, WA 98052-3821

Mailing address

16250 NE 80TH St
Redmond, WA 98052-3821
Phone (425) 867-1119

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090611000475 WA Part B Supplier - Clinic/Group Practice 6901797604 Receives reassigned benefits from 1 practitioner
Practice locations: Redmond, WA

National Provider Directory

National Provider Directory

Locations

16250 NE 80th St
Redmond, WA 98052
Phone (425) 629-3004

16701 NE 80th St
Ste 103
Redmond, WA 98052
Phone (425) 767-1119

16250 NE 80th St
Ofc
Redmond, WA 98052
Phone (425) 867-1119

Practitioners & affiliated clinicians

Practitioners 3

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": "1226102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226102400000",
    "number": "1568616241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16250 NE 80TH ST",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523821",
            "telephone_number": "425-867-1119",
            "fax_number": "425-883-9812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16250 NE 80TH ST",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523821",
            "telephone_number": "425-867-1119",
            "fax_number": "425-883-9812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON CHIROPRACTIC OFFICE, LTD, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-08",
        "last_updated": "2008-11-08",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-867-1119",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WA",
            "license": "2118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2008; 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.