Active NPI
Jason Scoppa, D.C.
- Chiropractor
- Seattle, WA
National Provider Identifier
1790037414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH60304341
- Practice address
- 417 E Pine St Ste P
Seattle, WA 98122-2378 - Phone
- (479) 283-9493
- Fax
- (206) 708-6472
- NPI assigned
- Oct 4, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH60304341 | WA | Primary |
Addresses
Primary practice location
417 E Pine St Ste P
Seattle, WA 98122-2378
Mailing address
417 E Pine St Ste P
Seattle, WA 98122-2378
Phone (479) 283-9493
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH60304341 | WA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349308800000",
"number": "1790037414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 E PINE ST STE P",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981222378",
"telephone_number": "479-283-9493",
"fax_number": "206-708-6472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 E PINE ST STE P",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981222378",
"telephone_number": "479-283-9493",
"fax_number": "206-708-6472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOPPA",
"first_name": "JASON",
"name_prefix": "Mr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-04",
"last_updated": "2012-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH60304341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.