Mark S. Jyringi, DC, PS

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MARK S. JYRINGI, DC, PS

Doing business as

Roosevelt Chiropractic

Practice address

5029 Roosevelt Way NE
#101A
Seattle, WA 98105-3600

Phone

(206) 547-4427

Fax

(206) 547-3587

NPI assigned

May 1, 2007

Last updated

Sep 22, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian M Stuck, DCNPI 1649467101

Title

Owner

Phone

(206) 547-4427

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Roosevelt Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Martin Stuck, D.C.

  • Chiropractor
  • Normandy Park, WA
  • NPI 1649467101
  Medicare reassignment Care Compare group Authorized official
• Jeen Yvette Rooks, D.C.

  • Chiropractor
  • Seattle, WA
  • NPI 1891392528
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1649491317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5029 ROOSEVELT WAY NE",
            "address_2": "#101A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053600",
            "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": "5029 ROOSEVELT WAY NE",
            "address_2": "#101A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053600",
            "telephone_number": "206-547-4427",
            "fax_number": "206-547-3587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK S. JYRINGI, DC, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "STUCK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-547-4427",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0060139",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "JY5775",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "U61570",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roosevelt Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Roosevelt Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark David Balter OD, PS (Northwest Vision Clinic)
• Mark Ellestad, MD - Psychiatric Services, PLLC
• Mark Germack DDS PLLC (Issaquah Creek Dental)
• Mark R McClung MD PC
• Mark R. Grace, D.D.S., PLLC
• Mark Stahl, DDS, PS
• Mark Waind DDS, PS
• Alastair John Mark
• Anthony Michael Mark, DPT
• Dominique Gabriele Mark, PHARMD

• Chiropractor in Seattle, WA
• Providers in Seattle, WA by specialty
• Chiropractor in Washington

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.