Active NPI
Robert Swalwell Cummins Jr., D.C.
- Chiropractor
- Bellevue, WA
National Provider Identifier
1588710800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00034659
- Practice address
- 4122 Factoria Blvd SE
Suite 203
Bellevue, WA 98006-4200 - Phone
- (425) 614-0680
- Fax
- (425) 614-0679
- NPI assigned
- Jan 27, 2007
- Last updated
- Apr 26, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X011339-1 | NY | |
| Chiropractor | 111N00000X | CH00034659 | WA | Primary |
Addresses
Primary practice location
4122 Factoria Blvd SE
Suite 203
Bellevue, WA 98006-4200
Mailing address
4122 Factoria Blvd SE
Suite 202
Bellevue, WA 98006-4200
Phone (425) 590-9158
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 2006
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
4122 Factoria Blvd SE
Bellevue, WA 98006-5259
Phone (425) 590-9158
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X011339-1 | NY | MD | Chiropractor |
| CH00034659 | WA | MD | Chiropractor |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Bellevue, WA
- NPI 1003146846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335398400000",
"number": "1588710800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4122 FACTORIA BLVD SE",
"address_2": "SUITE 202",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980064200",
"telephone_number": "425-590-9158",
"fax_number": "425-458-0100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4122 FACTORIA BLVD SE",
"address_2": "SUITE 203",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980064200",
"telephone_number": "425-614-0680",
"fax_number": "425-614-0679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUMMINS",
"first_name": "ROBERT",
"middle_name": "SWALWELL",
"name_suffix": "Jr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-27",
"last_updated": "2012-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X011339-1",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00034659",
"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 Apr 26, 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.