Individual provider Active NPI

John Chevigny

  • Chiropractor
  • Kirkland, WA
National Provider Identifier
1669860052
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60522163 Issued in WA
Practice address
11821 NE 128TH St Ste B
Kirkland, WA 98034-7210
Phone
(425) 814-2800
Fax
(425) 823-0882
NPI assigned
Jan 7, 2015
Last updated
Jun 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60522163 WA Primary

Addresses

Primary practice location

11821 NE 128TH St Ste B
Kirkland, WA 98034-7210

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1669860052OtherWANPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150609002608 WA Practitioner - Chiropractic 9537480025 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2013
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
Leshaw Chiropractic PLLC CurrentSince Sep 1, 2019 Accepting new patients
Mindbody Medicine PC Chiropractor CurrentSince May 15, 2018 Accepting new patients
Tacoma Chiropractic Center LLC Chiropractor CurrentSince Jul 24, 2022 Accepting new patients
Lotus Chiropractic PLLC Chiropractor PastSince Dec 15, 2019 Accepting new patients

Locations

17651 1st Ave S
Ste 101
Normandy Park, WA 98148
Phone (206) 241-3826

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

Organizations & group practices 5

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": "1420588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1669860052",
    "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",
            "fax_number": "206-523-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11821 NE 128TH ST STE B",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980347210",
            "telephone_number": "425-814-2800",
            "fax_number": "425-823-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEVIGNY",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-07",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60522163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1669860052",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.