Individual provider Active NPI

Basil Abuid, D.C.

  • Orthopedic Chiropractor
  • Mount Vernon, WA
National Provider Identifier
1649655762
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
60562639 Issued in WA
Practice address
2118 Riverside Dr
Ste 105
Mount Vernon, WA 98273-5454
Phone
(360) 424-6104
Fax
(360) 424-6009
NPI assigned
Jul 30, 2015
Last updated
Apr 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X 60562639 WA Primary

Addresses

Primary practice location

2118 Riverside Dr
Ste 105
Mount Vernon, WA 98273-5454

Mailing address

2118 Riverside Dr
Ste 105
Mount Vernon, WA 98273-5454
Phone (360) 424-6104

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170104002390 WA Practitioner - Chiropractic 3577844638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New SpineGroup PAC ID 1951682012, 2 clinicians

Practice addresses (Care Compare)

2118 Riverside Dr
Suite 105
Mount Vernon, WA 98273-5454
Phone (360) 424-6104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60562639WAMDOrthopedic Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cook Chiropractic, PLLC PastSince Nov 27, 2016 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.

NPI Registry JSON

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555459200000",
    "number": "1649655762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 RIVERSIDE DR",
            "address_2": "STE 105",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982735454",
            "telephone_number": "360-424-6104",
            "fax_number": "360-424-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 RIVERSIDE DR",
            "address_2": "STE 105",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982735454",
            "telephone_number": "360-424-6104",
            "fax_number": "360-424-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUID",
        "first_name": "BASIL",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-30",
        "last_updated": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "WA",
            "license": "60562639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; 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.