Jason Penaluna, DC DACNB FABNN

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

CH00034479 Issued in WA

Practice address

14709 Aurora Ave N
Shoreline, WA 98133-6547

Phone

(206) 363-4478

Fax

(206) 363-4640

NPI assigned

Mar 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marisa E Delisle, DC PSGroup PAC ID 5395755235, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Marisa E Delisle, DC PS

  • Chiropractor
  • Shoreline, WA
  • NPI 1326223900
  Medicare reassignment Care Compare group NPD
• Vital Chiropractic Center, PLLC

  • Chiropractor
  • Mill Creek, WA
  • NPI 1598957615
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1700903259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14709 AURORA AVE N",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981336547",
            "telephone_number": "206-363-4478",
            "fax_number": "206-363-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14709 AURORA AVE N",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981336547",
            "telephone_number": "206-363-4478",
            "fax_number": "206-363-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENALUNA",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "DC DACNB FABNN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CHOOO34479",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034479",
            "primary": false
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "WA",
            "license": "CH0034479",
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "WA",
            "license": "CH00034479",
            "primary": false
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "WA",
            "license": "CH00034479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Peacock
• Jaycie Pearce, DC
• Yuji Anton Pearce, BA
• Alexa Jean Peden, LMT
• Randi Pedigo
• Erik Pennell
• Melissa People
• Josee F Perez
• Peter Thomas PHD Personal Coporation
• Christina Noelle Boscolo Petit, LMT

• Neurology Chiropractor in Shoreline, WA
• Providers in Shoreline, WA by specialty
• Neurology Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.