Individual provider Active NPI

Gregory Charles Priebe, D.C.

  • Chiropractor
  • Auburn, WA
National Provider Identifier
1629406228
Registry record updated Mar 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60433645 Issued in WA
Practice address
1501 15TH St NW Ste 102
Auburn, WA 98001-3507
Phone
(253) 204-2333
Fax
(866) 567-1880
NPI assigned
Oct 17, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60433645 WA Primary

Addresses

Primary practice location

1501 15TH St NW Ste 102
Auburn, WA 98001-3507

Mailing address

1501 15TH St NW Ste 102
Auburn, WA 98001-3507
Phone (253) 204-2333

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

NPI Registry JSON

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

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426723200000",
    "number": "1629406228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 15TH ST NW STE 102",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980013507",
            "telephone_number": "253-204-2333",
            "fax_number": "866-567-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 15TH ST NW STE 102",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980013507",
            "telephone_number": "253-204-2333",
            "fax_number": "866-567-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIEBE",
        "first_name": "GREGORY",
        "middle_name": "CHARLES",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-17",
        "last_updated": "2015-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60433645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.