Early Dawn Enterprises Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00034462 Issued in WA

Legal business name

EARLY DAWN ENTERPRISES INC.

Doing business as

Back in Action Chiropractic

Practice address

2320 130TH Ave NE Ste 210
Bellevue, WA 98005-1752

Phone

(425) 635-0495

Fax

(425) 289-0140

NPI assigned

May 9, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Michael Jon Weir, D.C.NPI 1316049034

Title

President

Phone

(425) 635-0495

Specialties & licenses 1

Addresses

Other names 1

• Back in Action Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Jon Weir, D.C.

  • Chiropractor
  • Bellevue, WA
  • NPI 1316049034
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1619144565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 116TH AVE NE STE 101",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043011",
            "telephone_number": "425-635-0495",
            "fax_number": "425-289-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 130TH AVE NE STE 210",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980051752",
            "telephone_number": "425-635-0495",
            "fax_number": "425-289-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARLY DAWN ENTERPRISES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-09",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "WEIR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-635-0495",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back in Action Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Back in Action Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.