Jad3 P.S.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

JAD3 P.S.

Practice address

7010 Woodlawn Ave NE
Seattle, WA 98115-5433

Phone

(206) 517-5433

Fax

(206) 517-5533

NPI assigned

Jun 3, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Niall C Dillan, DCNPI 1174894687

Title

President

Phone

(206) 517-5433

Specialties & licenses 1

Addresses

Other names 1

• Lifestyle Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 2

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

• Niall Cameron Dillan, DC

  • Chiropractor
  • Seattle, WA
  • NPI 1174894687
  Medicare reassignment NPD Authorized official
• Jaycie Pearce, DC

  • Chiropractor
  • Shoreline, WA
  • NPI 1073492864
  NPD (past)

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1629636709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7010 WOODLAWN AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981155433",
            "telephone_number": "206-517-5433",
            "fax_number": "206-517-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 WOODLAWN AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981155433",
            "telephone_number": "206-517-5433",
            "fax_number": "206-517-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAD3 P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-03",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "DILLAN",
        "authorized_official_first_name": "NIALL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-517-5433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifestyle Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacqueline Tiffin DDS PLLC
• Kathleen Elizabeth Jacques, D.D.S.
• Immanuel Jacquez, MD
• Jacquie Gallaway, LLC
• Jennifer Jacyszyn, MA
• Jada Health Corporation
• Jade Kim DDS PS
• Jade Medicine PLLC
• Sara Jade, PHARMD
• James Lawrence Jadlos, ATC, LAT

• Health Service Clinic/Center in Seattle, WA
• Providers in Seattle, WA by specialty
• Health Service Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.