Individual provider Active NPI

Logan Trachuk, DC

  • Chiropractor
  • Seattle, WA
National Provider Identifier
1669067724
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
61133880 Issued in WA
Practice address
1751 NW 57TH St
Seattle, WA 98107-3034
Phone
(206) 688-6558
Fax
(206) 455-7070
NPI assigned
Mar 1, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 61133880 WA Primary

Addresses

Primary practice location

1751 NW 57TH St
Seattle, WA 98107-3034

Mailing address

9403 Linden Ave N Apt 4
Seattle, WA 98103-3247
Phone (780) 983-4324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1751 NW 57TH St
Seattle, WA 98107-3034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61133880WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Trachuk Health Solutions PLLC Chiropractor CurrentSince Apr 30, 2023 Accepting new patients

Locations

1751 NW 57th St
Seattle, WA 98107
Phone (206) 688-6558

Organizations & group practices 1

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": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1669067724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9403 LINDEN AVE N APT 4",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981033247",
            "telephone_number": "780-983-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 NW 57TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073034",
            "telephone_number": "206-688-6558",
            "fax_number": "206-455-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACHUK",
        "first_name": "LOGAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-01",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "61133880",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.