NPIMap

Organization Active NPI

Carl H. Jelstrup, DC, PS, Inc

  • Chiropractor
  • Bellevue, WA
National Provider Identifier
1669624110
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00000756 Issued in WA
Legal business name
CARL H. JELSTRUP, DC, PS, INC
Practice address
1 Lake Bellevue Dr
Suite 100
Bellevue, WA 98005-2417
Phone
(425) 467-6633
NPI assigned
Oct 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

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

Authorized official

Name
Dr. Carl H Jelstrup, DCNPI 1588859433
Title
Owner
Phone
(425) 467-6633

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00000756 WA Primary

Addresses

Primary practice location

1 Lake Bellevue Dr
Suite 100
Bellevue, WA 98005-2417

Mailing address

227 Bellevue Way NE
Suite 378
Bellevue, WA 98004-5721
Phone (425) 467-6633

National Provider Directory

National Provider Directory

Locations

227 Bellevue Way NE
Ste 378
Bellevue, WA 98004

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1669624110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 BELLEVUE WAY NE",
            "address_2": "SUITE 378",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045721",
            "telephone_number": "425-467-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LAKE BELLEVUE DR",
            "address_2": "SUITE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052417",
            "telephone_number": "425-467-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL H. JELSTRUP, DC, PS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-15",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "JELSTRUP",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-467-6633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00000756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.