Active NPI
Robert Michael Greczanik, LAC
- Acupuncturist
- Bellevue, WA
National Provider Identifier
1821215591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- WA343
- Practice address
- 2025 112TH Ave NE Ste 301
Bellevue, WA 98004-2950 - Phone
- (425) 454-7472
- Fax
- (424) 454-7471
- NPI assigned
- Apr 20, 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | WA343 | WA | Primary |
Addresses
Primary practice location
2025 112TH Ave NE Ste 301
Bellevue, WA 98004-2950
Mailing address
2025 112TH Ave NE Ste 301
Bellevue, WA 98004-2950
Phone (425) 454-7472
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 |
|---|---|---|---|
| WA343 | WA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821215591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 112TH AVE NE STE 301",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980042950",
"telephone_number": "425-454-7472",
"fax_number": "424-454-7471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 112TH AVE NE STE 301",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980042950",
"telephone_number": "425-454-7472",
"fax_number": "424-454-7471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRECZANIK",
"first_name": "ROBERT",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "WA343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, 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.