Individual provider Active NPI

Daniel Braff, DC

  • Chiropractor
  • Everett, WA
National Provider Identifier
1801484449
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
61131919 Issued in WA
Practice address
15 SW Everett Mall Way
Ste G
Everett, WA 98204-2715
Phone
(425) 355-5222
Fax
(425) 355-5231
NPI assigned
Jan 8, 2021
Last updated
Sep 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 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 61131919 WA Primary

Addresses

Primary practice location

15 SW Everett Mall Way
Ste G
Everett, WA 98204-2715

Mailing address

4915 25TH Ave NE
Ste 104
Seattle, WA 98105-8667
Phone (206) 315-7998

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210202002419 WA Practitioner - Chiropractic 9830503879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Active Health Solutions PSGroup PAC ID 0941568273, 6 clinicians

Practice addresses (Care Compare)

101 Nickerson St
Suite 140
Seattle, WA 98109-1620
Phone (206) 486-1648

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61131919WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Active Health Solutions PS Chiropractor CurrentSince Jul 5, 2023 Accepting new patients
Moss Chiropractic PC Chiropractor PastSince Jan 1, 2021 Accepting new patients
Functional Health Consulting, LLC Past Accepting new patients

Locations

101 Nickerson St
Ste 140
Seattle, WA 98109
Phone (206) 486-1648

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": "1610064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1801484449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 25TH AVE NE",
            "address_2": "STE 104",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981058667",
            "telephone_number": "206-315-7998",
            "fax_number": "206-316-2308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SW EVERETT MALL WAY",
            "address_2": "STE G",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982042715",
            "telephone_number": "425-355-5222",
            "fax_number": "425-355-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAFF",
        "first_name": "DANIEL",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-08",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "61131919",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 20, 2021; 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.