Active NPI
Brian Martin Stuck, D.C.
- Chiropractor
- Normandy Park, WA
National Provider Identifier
1649467101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00034778
- Practice address
- 17651 1St Ave S
Ste 101
Normandy Park, WA 98148-2715 - Phone
- (206) 241-3836
- Fax
- (206) 241-3967
- NPI assigned
- Sep 28, 2007
- 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 | CH00034778 | WA | Primary |
Addresses
Primary practice location
17651 1St Ave S
Ste 101
Normandy Park, WA 98148-2715
Mailing address
5029 Roosevelt Way NE Ste 101a
Seattle, WA 98105-3697
Phone (206) 547-4427
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5029 Roosevelt Way NE
101A
Seattle, WA 98105-3600
5029 Roosevelt Way NE
Suite 101a
Seattle, WA 98105-3697
Phone (206) 547-4427
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH00034778 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leshaw Chiropractic PLLC | Past | Accepting new patients | |
| Catherine Englehart DC PS | Chiropractor | Past | Accepting new patients |
| Daryll G. Marshall-Inman DC Inc. | Chiropractor | Past | Accepting new patients |
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
- Seattle, WA
- NPI 1649491317
-
- Chiropractor
- Seattle, WA
- NPI 1235316522
-
- Chiropractor
- Normandy Park, WA
- NPI 1205934684
-
- Sports Physician Chiropractor
- Normandy Park, WA
- NPI 1063064889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695340800000",
"number": "1649467101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5029 ROOSEVELT WAY NE STE 101A",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981053697",
"telephone_number": "206-547-4427",
"fax_number": "206-547-3587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17651 1ST AVE S",
"address_2": "STE 101",
"city": "NORMANDY PARK",
"state": "WA",
"postal_code": "981482715",
"telephone_number": "206-241-3836",
"fax_number": "206-241-3967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUCK",
"first_name": "BRIAN",
"middle_name": "MARTIN",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-28",
"last_updated": "2023-09-22",
"certification_date": "2023-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00034778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Normandy Park, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.