Individual provider Active NPI

Chad M Abramson Sr., D.C.

  • Chiropractor
  • Everett, WA
National Provider Identifier
1720157399
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002766 Issued in WA
Practice address
10333 19TH Ave SE
Suite 103
Everett, WA 98208-4267
Phone
(425) 315-6262
Fax
(877) 848-7680
NPI assigned
Nov 7, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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 CH00002766 WA Primary

Addresses

Primary practice location

10333 19TH Ave SE
Suite 103
Everett, WA 98208-4267

Mailing address

12720 4TH Ave W
PMB F-324
Everett, WA 98204-5707
Phone (425) 315-6262

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100810000589 WA Practitioner - Chiropractic 8628102845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10333 19TH Ave SE
Suite 103
Everett, WA 98208-4267
Phone (425) 315-6262

12720 4TH Ave W F
Suite 324
Everett, WA 98204-5707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH00002766WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chad M Abramson, DC Inc Chiropractor CurrentSince Oct 1, 1994 Accepting new patients
Statcare Inc PastSince Oct 17, 2005 Accepting new patients

Locations

10333 19th Ave SE
Ste 103
Everett, WA 98208
Phone (425) 315-6262

12720 4th Ave W
Ste F
Everett, WA 98204

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720157399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12720 4TH AVE W",
            "address_2": "PMB F-324",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982045707",
            "telephone_number": "425-315-6262",
            "fax_number": "877-848-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10333 19TH AVE SE",
            "address_2": "SUITE 103",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982084267",
            "telephone_number": "425-315-6262",
            "fax_number": "877-848-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAMSON",
        "first_name": "CHAD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, 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.