Individual provider Active NPI

Jon Conner Cuevas, DC

  • Chiropractor
  • Seattle, WA
National Provider Identifier
1801438320
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
61006847 Issued in WA
Practice address
5429 Russell Ave NW Ste 300
Seattle, WA 98107-4010
Phone
(206) 783-6000
Fax
(425) 820-2942
NPI assigned
Oct 16, 2019
Last updated
Apr 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 61006847 WA Primary

Addresses

Primary practice location

5429 Russell Ave NW Ste 300
Seattle, WA 98107-4010

Mailing address

5429 Russell Ave NW Ste 300
Seattle, WA 98107-4010
Phone (206) 783-6000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201005000296 WA Practitioner - Chiropractic 1153740519 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61006847WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Monroe Chiropractic and Alternative Medicine Center PS Chiropractor PastSince Oct 1, 2019 Accepting new patients
Positive Chiropractic and Wellness Chiropractor PastSince Oct 1, 2019 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1801438320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5429 RUSSELL AVE NW STE 300",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074010",
            "telephone_number": "206-783-6000",
            "fax_number": "206-783-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5429 RUSSELL AVE NW STE 300",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074010",
            "telephone_number": "206-783-6000",
            "fax_number": "425-820-2942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUEVAS",
        "first_name": "JON",
        "middle_name": "CONNER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-16",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "61006847",
            "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 Apr 6, 2021; 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.