Individual provider Active NPI

Jason Hodges, DC

  • Chiropractor
  • Seattle, WA
National Provider Identifier
1629465703
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
60636464 Issued in WA
Practice address
101 Nickerson St Ste 140
Seattle, WA 98109-1620
Phone
(206) 486-1648
Fax
(206) 832-3732
NPI assigned
Apr 16, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 33105 CA
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 60636464 WA Primary

Addresses

Primary practice location

101 Nickerson St Ste 140
Seattle, WA 98109-1620

Mailing address

101 Nickerson St Ste 140
Seattle, WA 98109-1620
Phone (206) 486-1648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160128000294 CA Practitioner - Chiropractic 1355644246 Practice locations: San Luis Obispo, CA
I20180117002981 WA Practitioner - Chiropractic 1355644246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Active Health Solutions PSGroup PAC ID 0941568273, 6 clinicians

Practice addresses (Care Compare)

101 Nickerson St
Suite 140
Seattle, WA 98109-1620
Phone (206) 486-1648

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60636464WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Active Health Solutions PS Chiropractor CurrentSince Jul 28, 2017 Accepting new patients

Locations

101 Nickerson St
Ste 140
Seattle, WA 98109
Phone (206) 486-1648

Organizations & group practices 1

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": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1629465703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 NICKERSON ST STE 140",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981091620",
            "telephone_number": "206-486-1648",
            "fax_number": "206-832-3732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NICKERSON ST STE 140",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981091620",
            "telephone_number": "206-486-1648",
            "fax_number": "206-832-3732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "JASON",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33105",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "60636464",
            "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 Jul 21, 2022; 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.