Individual provider Active NPI

Kurt Sherwood, D.C.

  • Chiropractor
  • Renton, WA
National Provider Identifier
1831244599
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2364 Issued in WA
Practice address
16810 108TH Ave SE
Renton, WA 98055-5413
Phone
(425) 227-0111
Fax
(425) 228-2583
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2364 WA Primary

Addresses

Primary practice location

16810 108TH Ave SE
Renton, WA 98055-5413

Mailing address

16810 108TH Ave SE
Renton, WA 98055-5413
Phone (425) 227-0111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081007000103 WA Practitioner - Chiropractic 0941378715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

16810 108TH Ave SE
Renton, WA 98055-5413
Phone (425) 227-0111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2364WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sherwood Family Chiropractic, P.S. CurrentSince May 1, 2008 Accepting new patients

Locations

16810 108th Ave SE
Renton, WA 98055
Phone (425) 227-0111

Organizations & group practices 1

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831244599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16810 108TH AVE SE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555413",
            "telephone_number": "425-227-0111",
            "fax_number": "425-228-2583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16810 108TH AVE SE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555413",
            "telephone_number": "425-227-0111",
            "fax_number": "425-228-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERWOOD",
        "first_name": "KURT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "2364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, 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.
  • 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.