Individual provider Active NPI

Richard Ira Levine, D.C.

  • Chiropractor
  • Bellevue, WA
National Provider Identifier
1730215203
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC1331 Issued in HI
Practice address
10500 NE 8TH St Ste 212
Bellevue, WA 98004-4351
Phone
(425) 455-0332
Fax
(425) 455-0417
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6833 NY
Chiropractor 111N00000X DC1331 HI Primary
Chiropractor 111N00000X 2630 WA

Addresses

Primary practice location

10500 NE 8TH St Ste 212
Bellevue, WA 98004-4351

Mailing address

4348 Waialae Ave.
PMB 247
Honolulu, HI 96816-5767
Phone (808) 797-8094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC1331HIMDChiropractor
6833NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Levine Chiropractic, PLLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1730215203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4348 WAIALAE AVE.",
            "address_2": "PMB 247",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165767",
            "telephone_number": "808-797-8094",
            "fax_number": "808-200-3607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 NE 8TH ST STE 212",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044351",
            "telephone_number": "425-455-0332",
            "fax_number": "425-455-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "RICHARD",
        "middle_name": "IRA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "6833",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "DC1331",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "2630",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.