Individual provider Active NPI

Paul Clifford Rosasco, DC

  • Chiropractor
  • Burlington, WA
National Provider Identifier
1841355450
Registry record updated Apr 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00001517 Issued in WA
Practice address
827 S Burlington Blvd
Burlington, WA 98233-3307
Phone
(360) 757-4101
Fax
(360) 757-4808
NPI assigned
Dec 26, 2006
Last updated
Apr 8, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00001517 WA Primary

Addresses

Primary practice location

827 S Burlington Blvd
Burlington, WA 98233-3307

Mailing address

827 S Burlington Blvd
Burlington, WA 98233-3307
Phone (360) 757-4101

Other identifiers 1

IdentifierTypeStateIssuer
102937OtherWAWC L&I

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110113001115 WA Practitioner - Chiropractic 1254529993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

827 S Burlington Blvd
Burlington, WA 98233-3307
Phone (360) 757-4101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cascade Health Care Inc Chiropractor CurrentSince Mar 7, 1980 Accepting new patients

Locations

827 S Burlington Blvd
Burlington, WA 98233
Phone (360) 757-4101

Interoperability endpoints

  • Direct secure messaging: dr.paul@ch0003.direct.chirotouch.md

Organizations & group practices 2

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": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1841355450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 S BURLINGTON BLVD",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982333307",
            "telephone_number": "360-757-4101",
            "fax_number": "360-757-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 S BURLINGTON BLVD",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982333307",
            "telephone_number": "360-757-4101",
            "fax_number": "360-757-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSASCO",
        "first_name": "PAUL",
        "middle_name": "CLIFFORD",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WC L&I",
            "identifier": "102937",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; 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.