Active NPI
Staten C Medsker Jr., D.C.
- Chiropractor
- Bellevue, WA
National Provider Identifier
1639222433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2119
- Practice address
- 15600 NE 8TH St
B1-468
Bellevue, WA 98008-3927 - Phone
- (423) 284-1441
- NPI assigned
- Jan 18, 2007
- Last updated
- Dec 26, 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 | 2119 | TN | Primary |
Addresses
Primary practice location
15600 NE 8TH St
B1-468
Bellevue, WA 98008-3927
Mailing address
15600 NE 8TH St
B1-468
Bellevue, WA 98008-3927
Phone (423) 284-1441
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Health PLLC | Chiropractor | Past | Accepting new patients |
| Mobile Chiropractic & Massage, PLLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba ProHealth Chiropractic & Massage
- Health Service Clinic/Center
- Bellevue, WA
- NPI 1699163709
-
dba Atlas Total Health
- Multi-Specialty Clinic/Center
- Chattanooga, TN
- NPI 1447277181
Chiropractor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419552000000",
"number": "1639222433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15600 NE 8TH ST",
"address_2": "B1-468",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980083927",
"telephone_number": "423-284-1441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15600 NE 8TH ST",
"address_2": "B1-468",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980083927",
"telephone_number": "423-284-1441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDSKER",
"first_name": "STATEN",
"middle_name": "C",
"name_suffix": "Jr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-18",
"last_updated": "2014-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "2119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.