Active NPI
Joseph T Cresanti, D.C.
- Chiropractor
- Lynnwood, WA
National Provider Identifier
1841225117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00003181
- Practice address
- 626 164TH St SW
Lynnwood, WA 98087-8116 - Phone
- (425) 742-5400
- Fax
- (425) 742-5447
- NPI assigned
- Jul 12, 2006
- Last updated
- Sep 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00003181 | WA | Primary |
Addresses
Primary practice location
626 164TH St SW
Lynnwood, WA 98087-8116
Mailing address
626 164TH St SW
Lynnwood, WA 98087-8116
Phone (425) 742-5400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051202000580 | WA | Practitioner - Chiropractic | 1355361577 | Practice locations: Mill Creek, WA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
16030 Bothell Everett Hwy
Suite 105
Mill Creek, WA 98012-0014
Phone (425) 742-5400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ac Eyecare, Inc. | Past | Accepting new patients |
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, 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": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190851200000",
"number": "1841225117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "626 164TH ST SW",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980878116",
"telephone_number": "425-742-5400",
"fax_number": "425-742-5447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "626 164TH ST SW",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980878116",
"telephone_number": "425-742-5400",
"fax_number": "425-742-5447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRESANTI",
"first_name": "JOSEPH",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2007-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00003181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.