Active NPI
Eduardo Jubis, D.C.
- Chiropractor
- Mountlake Terrace, WA
National Provider Identifier
1841449873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 60322535
- Practice address
- 6100 219TH St SW
Suite 480
Mountlake Terrace, WA 98043-2222 - Phone
- (206) 556-6427
- NPI assigned
- Sep 15, 2008
- 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 | CH 60322535 | WA | Primary |
Addresses
Primary practice location
6100 219TH St SW
Suite 480
Mountlake Terrace, WA 98043-2222
Mailing address
2010 25TH Ave NE
Issaquah, WA 98029-2602
Phone (206) 556-6427
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH 60322535 | WA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436832000000",
"number": "1841449873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2010 25TH AVE NE",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980292602",
"telephone_number": "206-556-6427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 219TH ST SW",
"address_2": "SUITE 480",
"city": "MOUNTLAKE TERRACE",
"state": "WA",
"postal_code": "980432222",
"telephone_number": "206-556-6427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUBIS",
"first_name": "EDUARDO",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-15",
"last_updated": "2015-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH 60322535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mountlake Terrace, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.