Plateau Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PLATEAU CHIROPRACTIC LLC

Doing business as

Plateau Chiropractic & Massage

Practice address

3707 Providence Point Dr SE Ste B
Issaquah, WA 98029-6216

Phone

(425) 868-9593

Fax

(425) 868-6826

NPI assigned

Oct 3, 2019

Last updated

Feb 26, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jason Matthews, DCNPI 1124433636

Title

Ower / Chiropractor

Phone

(425) 985-4629

Specialties & licenses 1

Addresses

Other names 1

• Plateau Chiropractic & Massage Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason Matthews, DC

  • Chiropractor
  • Issaquah, WA
  • NPI 1124433636
  Medicare reassignment Authorized official
• Tetiana Ianushkevych, LMT

  • Massage Therapist
  • Issaquah, WA
  • NPI 1689250565
  NPD
• Steven D. Taylor, D.C.

  • Chiropractor
  • Issaquah, WA
  • NPI 1265668123
  NPD

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582675200000",
    "number": "1740821461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 ISSAQUAH PINE LAKE RD SE APT A22",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980755254",
            "telephone_number": "425-985-4629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 PROVIDENCE POINT DR SE STE B",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980296216",
            "telephone_number": "425-868-9593",
            "fax_number": "425-868-6826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATEAU CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-03",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWER / CHIROPRACTOR",
        "authorized_official_telephone_number": "425-985-4629",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plateau Chiropractic & Massage",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Plateau Chiropractic & Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Annie Nicole Pineyro, ARNP
• Kelly Alice Pipe-Campbell, M.ED. BCBA
• Rhiannon Irene Place
• Brian J Plaskon, M.D.
• Lora Ann Plaskon, MD
• Jessika Plescia, ARNP
• Dina Marie Ploegman, LMP
• Richard John Plunkett, M.D.
• Debra Lynne Poepping, LMFT
• Nicole Pohlers, LMHC

• Chiropractor in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.