Active NPI
Joel William Southwell, DC
- Chiropractor
- Issaquah, WA
National Provider Identifier
1619375482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH60505676
- Practice address
- 1525 NW Mall St
Issaquah, WA 98027-8947 - Phone
- (425) 800-6881
- Fax
- (425) 392-1039
- NPI assigned
- Dec 10, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH60505676 | WA | Primary |
Addresses
Primary practice location
1525 NW Mall St
Issaquah, WA 98027-8947
Mailing address
1525 NW Mall St
Issaquah, WA 98027-8947
Phone (425) 800-6881
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH60505676 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastside Ideal Health Issaquah, PLLC | Chiropractor | Current | Accepting new patients |
| JWSC PLLC | Chiropractor | Current | Accepting new patients |
| Dech | Chiropractor | Past | Accepting new patients |
| C&C Chiropractic Inc PS | Chiropractor | Past | Accepting new patients |
Locations
1525 NW Mall St
Issaquah, WA 98027
Phone (425) 800-6881
1275 12th Ave NW
Ste 1A
Issaquah, WA 98027
Phone (425) 444-4833
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.
-
- Chiropractor
- Issaquah, WA
- NPI 1811453921
-
- Chiropractor
- Issaquah, WA
- NPI 1578307054
-
- Chiropractor
- Federal Way, WA
- NPI 1922511179
-
- Chiropractor
- Seattle, WA
- NPI 1295422368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608076800000",
"number": "1619375482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 NW MALL ST",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980278947",
"telephone_number": "425-800-6881",
"fax_number": "425-392-1039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 NW MALL ST",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980278947",
"telephone_number": "425-800-6881",
"fax_number": "425-392-1039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUTHWELL",
"first_name": "JOEL",
"middle_name": "WILLIAM",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-12-10",
"last_updated": "2020-12-16",
"certification_date": "2020-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH60505676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.