Pacific North Chiropractic Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PACIFIC NORTH CHIROPRACTIC INC.

Practice address

1551 116TH Ave NE Ste C
Bellevue, WA 98004-3814

Phone

(425) 679-6048

NPI assigned

Oct 5, 2022

Organization subpart

No

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

Authorized official

Name

Namir MoussaNPI 1225758428

Title

Sole Director

Phone

(780) 361-9150

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Namir A Moussa, DC

  • Chiropractor
  • Bellevue, WA
  • NPI 1225758428
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1689399305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 116TH AVE NE STE C",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 116TH AVE NE STE C",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043814",
            "telephone_number": "425-679-6048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC NORTH CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "MOUSSA",
        "authorized_official_first_name": "NAMIR",
        "authorized_official_title_or_position": "SOLE DIRECTOR",
        "authorized_official_telephone_number": "780-361-9150"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Chirohd",
            "affiliation": "N",
            "address_1": "1551 116th Ave NE Ste C",
            "city": "Bellevue",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980043814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Pacific NW Fertility and Ivf Specialists. I. PLLC (PNWF Office Based Surgery Center)
• Pacific Oculofacial Plastic Surgery PLLC

• Chiropractor in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.