Jarryd Page, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH61516441 Issued in WA

Practice address

14090 Fryelands Blvd SE Ste 274
Monroe, WA 98272-2693

Phone

(360) 919-1103

Fax

(425) 487-6818

NPI assigned

Jan 19, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kaufman Chiropractic Clinic IncGroup PAC ID 0244143105, 8 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.

• Kaufman Chiropractic Clinic Inc

  • Chiropractor
  • Bothell, WA
  • NPI 1265527386
  Medicare reassignment Care Compare group NPD
• Bothell Regenerative Medicine

  • Naturopath
  • Bothell, WA
  • NPI 1043872716
  NPD (past)

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1750142337",
    "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": "14090 FRYELANDS BLVD SE STE 274",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982722693",
            "telephone_number": "360-919-1103",
            "fax_number": "425-487-6818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18920 Bothell Way NE Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bothell",
            "state": "WA",
            "postal_code": "980111981",
            "country_code": "US",
            "telephone_number": "425-486-1122",
            "fax_number": "425-487-6818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAGE",
        "first_name": "JARRYD",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61516441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caleb Daniel Oster
• Pamela Jean Owen, LMP
• Amber Owens, MA
• Landree Anne Owens
• Haley Jewel Packer, LMT
• Diana Pak, PHARM.D
• April M Palmer, LAC
• Park and Ghorbanian DDS, PLLC
• Derek Park, DDS
• Robert K Park, D.D.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.