Individual provider Active NPI

Jeffrey Paul Dueck, DC

  • Chiropractor
  • Seattle, WA
National Provider Identifier
1801170998
Registry record updated Nov 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60243130 Issued in WA
Practice address
2914 E Madison St
Suite 109
Seattle, WA 98112-4274
Phone
(206) 726-9595
NPI assigned
Oct 6, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60243130 WA Primary

Addresses

Primary practice location

2914 E Madison St
Suite 109
Seattle, WA 98112-4274

Mailing address

2914 E Madison St
Suite 109
Seattle, WA 98112-4274
Phone (206) 726-9595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111208000714 WA Practitioner - Chiropractic 3678748225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Functional Health Consulting LLCGroup PAC ID 1759560709, 36 clinicians

Practice addresses (Care Compare)

2014 E Madison St
Suite 100
Seattle, WA 98122-2965
Phone (206) 726-9551

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH60243130WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Functional Health Consulting, LLC Chiropractor CurrentSince Mar 31, 2018 Accepting new patients
Functional Health Consulting, LLC Chiropractor CurrentSince Mar 31, 2018 Accepting new patients
Functional Health Consulting, LLC Current Accepting new patients
Functional Health Consulting, LLC Past Accepting new patients

Locations

15 SW Everett Mall Way
Ste G
Everett, WA 98204
Phone (425) 355-5222

2014 E Madison St
Ste 100
Seattle, WA 98122
Phone (206) 726-9551

2914 E Madison St
Ste 109
Seattle, WA 98112
Phone (206) 333-0564

Organizations & group practices 4

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": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320624000000",
    "number": "1801170998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2914 E MADISON ST",
            "address_2": "SUITE 109",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124274",
            "telephone_number": "206-726-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2914 E MADISON ST",
            "address_2": "SUITE 109",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124274",
            "telephone_number": "206-726-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUECK",
        "first_name": "JEFFREY",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-06",
        "last_updated": "2011-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60243130",
            "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 Nov 7, 2011; 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.