Individual provider Active NPI

Jeffrey Cloyd Leland Word, D.C.

  • Chiropractor
  • Seattle, WA
National Provider Identifier
1649550427
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60239267 Issued in WA
Practice address
1400 20TH Ave
Seattle, WA 98122-2802
Phone
(206) 323-0114
Fax
(844) 329-1722
NPI assigned
Aug 24, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60239267 WA Primary

Addresses

Primary practice location

1400 20TH Ave
Seattle, WA 98122-2802

Mailing address

1400 20TH Ave
Seattle, WA 98122-2802
Phone (206) 323-0114

Other identifiers 2

IdentifierTypeStateIssuer
1164970778OtherWAGROUP NPI
1649550427OtherNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111219000216 WA Practitioner - Chiropractic 0941475057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

271 Wyatt Way NE
Suite 200
Bainbridge Island, WA 98110-2873
Phone (206) 735-5008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Wellness Chiropractic PLLC CurrentSince Sep 22, 2016 Accepting new patients
Olympic Pain Solutions PastSince Dec 6, 2020 Accepting new patients

Locations

271 Wyatt Way NE
Ste 200
Bainbridge Island, WA 98110
Phone (206) 380-6366

1400 20th Ave
Seattle, WA 98122
Phone (206) 323-0114

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474934400000",
    "number": "1649550427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 20TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981222802",
            "telephone_number": "206-323-0114",
            "fax_number": "844-329-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 20TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981222802",
            "telephone_number": "206-323-0114",
            "fax_number": "844-329-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORD",
        "first_name": "JEFFREY",
        "middle_name": "CLOYD LELAND",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-24",
        "last_updated": "2016-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60239267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1164970778",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1649550427",
            "state": null
        }
    ],
    "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 Sep 27, 2016; 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.