Individual provider Active NPI

Gage Ford, DC

  • Chiropractor
  • Seattle, WA
National Provider Identifier
1669221479
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH61515524 Issued in WA
Practice address
2705 NE 65TH St
Seattle, WA 98115-7129
Phone
(206) 523-9000
Fax
(206) 523-5566
NPI assigned
May 14, 2024
Last updated
May 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH61515524 WA Primary

Addresses

Primary practice location

2705 NE 65TH St
Seattle, WA 98115-7129

Mailing address

2705 NE 65TH St
Seattle, WA 98115-7129
Phone (206) 523-9000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240624004195 WA Practitioner - Chiropractic 2961945548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindbody Medicine PCGroup PAC ID 0446506786, 2 clinicians

Practice addresses (Care Compare)

2705 NE 65TH St
Seattle, WA 98115-7129
Phone (206) 523-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mindbody Medicine PC Chiropractor CurrentSince Jun 5, 2024 Accepting new patients
Tacoma Chiropractic Center LLC Chiropractor CurrentSince May 19, 2024 Accepting new patients

Locations

2705 NE 65th St
Seattle, WA 98115
Phone (206) 414-9992

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": "1715644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1669221479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 NE 65TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981157129",
            "telephone_number": "206-523-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 NE 65TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981157129",
            "telephone_number": "206-523-9000",
            "fax_number": "206-523-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "GAGE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61515524",
            "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 May 21, 2024; 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.