Individual provider Active NPI

Brian Wilhoi Chan, DC

  • Chiropractor
  • Seattle, WA
National Provider Identifier
1689787913
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034204 Issued in WA
Practice address
12419 Rentan Ave S
Seattle, WA 98178
Phone
(206) 772-0088
Fax
(206) 772-5420
NPI assigned
Aug 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00034204 WA Primary

Addresses

Primary practice location

12419 Rentan Ave S
Seattle, WA 98178

Mailing address

159 Denny Way
#306
Seattle, WA 98178
Phone (206) 898-3938

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090126000242 WA Practitioner - Chiropractic 5193626877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chan Healthcare Group PSGroup PAC ID 6204992092, 3 clinicians

Practice addresses (Care Compare)

12419 Renton Ave S
Seattle, WA 98178-3708
Phone (206) 772-0088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chan Healthcare Group PS Chiropractor CurrentSince Jan 1, 2009 Accepting new patients
Integrative Injury Clinic, PS PastSince Jun 6, 2021 Accepting new patients

Locations

12419 Renton Ave S
Seattle, WA 98178
Phone (206) 772-0088

608 8th Ave S
Seattle, WA 98104
Phone (206) 233-0818

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689787913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 DENNY WAY",
            "address_2": "#306",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98178",
            "telephone_number": "206-898-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12419 RENTAN AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98178",
            "telephone_number": "206-772-0088",
            "fax_number": "206-772-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "BRIAN",
        "middle_name": "WILHOI",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034204",
            "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 Jul 8, 2007; 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.