Individual provider Active NPI

Anthony Quintos, DC

  • Chiropractor
  • Bothell, WA
National Provider Identifier
1699330035
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60953203 Issued in WA
Practice address
18920 Bothell Way NE Ste 100
Bothell, WA 98011-1981
Phone
(425) 486-1122
Fax
(425) 487-6818
NPI assigned
May 1, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60953203 WA Primary

Addresses

Primary practice location

18920 Bothell Way NE Ste 100
Bothell, WA 98011-1981

Mailing address

18920 Bothell Way NE Ste 100
Bothell, WA 98011-1981
Phone (425) 486-1122

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190702000975 WA Practitioner - Chiropractic 0547594111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Functional Health Consulting LLCGroup PAC ID 1759560709, 36 clinicians

Practice addresses (Care Compare)

11901 NE Village PLZ
Suite 261
Kirkland, WA 98034-5092
Phone (425) 814-2800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Functional Health Consulting, LLC Chiropractor CurrentSince Nov 5, 2024 Accepting new patients
Functional Health Consulting, LLC CurrentSince Nov 5, 2024 Accepting new patients
Functional Health Consulting, LLC Current Accepting new patients
Functional Health Consulting, LLC Past Accepting new patients
Bothell Regenerative Medicine PastSince May 11, 2019 Accepting new patients

Locations

15 SW Everett Mall Way
Ste G
Everett, WA 98204
Phone (425) 355-5222

11901 NE Village Plz
Ste 261
Kirkland, WA 98034
Phone (425) 814-2800

2014 E Madison St
Ste 100
Seattle, WA 98122
Phone (206) 726-9551

4915 25th Ave NE
Ste 104
Seattle, WA 98105
Phone (206) 315-7998

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": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1699330035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18920 BOTHELL WAY NE STE 100",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980111981",
            "telephone_number": "425-486-1122",
            "fax_number": "425-487-6818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18920 BOTHELL WAY NE STE 100",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980111981",
            "telephone_number": "425-486-1122",
            "fax_number": "425-487-6818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTOS",
        "first_name": "ANTHONY",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-01",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60953203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; 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.