Individual provider Active NPI

Jay Scott Pearson, DC

  • Chiropractor
  • Covington, WA
National Provider Identifier
1609927516
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00033967 Issued in WA
Practice address
15610 SE 272ND St Ste a-106
Covington, WA 98042-4416
Phone
(253) 638-2424
Fax
(253) 639-5115
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00033967 WA Primary

Addresses

Primary practice location

15610 SE 272ND St Ste a-106
Covington, WA 98042-4416

Mailing address

15610 SE 272ND St Ste a-106
Covington, WA 98042-4416
Phone (253) 638-2424

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120127000318 WA Practitioner - Chiropractic 5890787675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pearson Chiropractic PLLCGroup PAC ID 0648262428, 4 clinicians

Practice addresses (Care Compare)

15610 SE 272ND St
Suite a 106
Covington, WA 98042-4416
Phone (253) 638-2424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pearson Chiropractic PLLC CurrentSince Nov 18, 2002 Accepting new patients
Kriss Chiropractic PS Chiropractor PastSince Feb 14, 2017 Accepting new patients

Locations

7084 Lakeland Hills Way SE
Ste 107
Auburn, WA 98092
Phone (253) 329-2718

15610 SE 272nd St
Ste A106
Covington, WA 98042
Phone (253) 638-2424

1426 S 324th St
Ste B115
Federal Way, WA 98003
Phone (253) 638-2424

13003 SE Kent Kangley Rd
Ste 110
Kent, WA 98030
Phone (253) 638-2424

27203 216th Ave SE
Ste 1
Maple Valley, WA 98038
Phone (253) 638-2424

129 176th St S
Ste A
Spanaway, WA 98387
Phone (253) 539-0132

Organizations & group practices 2

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1609927516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15610 SE 272ND ST STE A-106",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980424416",
            "telephone_number": "253-638-2424",
            "fax_number": "253-639-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15610 SE 272ND ST STE A-106",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980424416",
            "telephone_number": "253-638-2424",
            "fax_number": "253-639-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "JAY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00033967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.