Individual provider Active NPI

Michael Pak to Li, DC

  • Chiropractor
  • Seattle, WA
National Provider Identifier
1609044064
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60133937 Issued in WA
Practice address
2200 6TH Ave Ste 832
Seattle, WA 98121-1833
Phone
(206) 441-2505
Fax
(206) 441-2508
NPI assigned
Feb 19, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00662700 NJ
Chiropractor 111N00000X CH60133937 WA Primary

Addresses

Primary practice location

2200 6TH Ave Ste 832
Seattle, WA 98121-1833

Mailing address

2200 6TH Ave Ste 832
Seattle, WA 98121-1833
Phone (206) 441-2505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
38MC00662700NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Webber Chiropractic Sports Clinic, Inc Chiropractor PastSince Jun 1, 2024 Accepting new patients
Bellevue Medical Center Past Accepting new patients
Carteret Comprehensive Medical Care,PC PastSince Sep 24, 2004 Accepting new patients
Carteret Comprehensive Medical Care, P.C. Past Accepting new patients

Organizations & group practices 4

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": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352246400000",
    "number": "1609044064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 6TH AVE STE 832",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981211833",
            "telephone_number": "206-441-2505",
            "fax_number": "206-441-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 6TH AVE STE 832",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981211833",
            "telephone_number": "206-441-2505",
            "fax_number": "206-441-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "MICHAEL",
        "middle_name": "PAK TO",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-19",
        "last_updated": "2012-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00662700",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60133937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.