Active NPI
Anthony Pezhman Safaeian, D.C.
- Rehabilitation Chiropractor
- Everett, WA
National Provider Identifier
1770649568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- CH00034128
- Practice address
- 12811 8TH Ave W Ste B103
Everett, WA 98204-6369 - Phone
- (425) 513-6959
- Fax
- (425) 513-0230
- NPI assigned
- Dec 28, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | CH00034128 | WA | Primary |
Addresses
Primary practice location
12811 8TH Ave W Ste B103
Everett, WA 98204-6369
Mailing address
12811 8TH Ave W Ste B103
Everett, WA 98204-6369
Phone (425) 513-6959
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0161524 | Other | WA | L&I |
| 2026383 | Medicaid | WA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marc-Anthony Chiropractic Clinic PS | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Everett, WA
- NPI 1780932251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770649568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12811 8TH AVE W STE B103",
"city": "EVERETT",
"state": "WA",
"postal_code": "982046369",
"telephone_number": "425-513-6959",
"fax_number": "425-513-0230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12811 8TH AVE W STE B103",
"city": "EVERETT",
"state": "WA",
"postal_code": "982046369",
"telephone_number": "425-513-6959",
"fax_number": "425-513-0230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAFAEIAN",
"first_name": "ANTHONY",
"middle_name": "PEZHMAN",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "WA",
"license": "CH00034128",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "0161524",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2026383",
"state": "WA"
}
],
"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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.