Individual provider Active NPI

Samuel Tong, D.C.

  • Chiropractor
  • Seattle, WA
National Provider Identifier
1851392674
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
00033812 Issued in WA
Practice address
2206 Queen Anne Ave N
#201
Seattle, WA 98109-2370
Phone
(206) 378-5755
Fax
(206) 219-0556
NPI assigned
Aug 2, 2005
Last updated
Dec 7, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 00033812 WA Primary

Addresses

Primary practice location

2206 Queen Anne Ave N
#201
Seattle, WA 98109-2370

Mailing address

2206 Queen Anne Ave N
#201
Seattle, WA 98109-2370
Phone (206) 378-5755

Other identifiers 5

IdentifierTypeStateIssuer
8349755MedicaidWA
6421TOOtherWAREGENCE BLUESHIELD
6047TOOtherWAREGENCE BLUESHIELD
0144667OtherWADEPT OF LABOR & INDUSTRIE
1905840OtherWAFIRST HEALTH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060418000738 WA Practitioner - Chiropractic 3072522184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2206 Queen Anne Ave N
Suite 201
Seattle, WA 98109-2370
Phone (206) 378-5755

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00033812WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Tongsingyiu, LLC Chiropractor CurrentSince Sep 1, 2011 Accepting new patients
Tong Corp Chiropractor Past Accepting new patients

Locations

2206 Queen Anne Ave N
Ste 201
Seattle, WA 98109
Phone (206) 378-5755

2206 Queen Anne Ave N
Ste 202
Seattle, WA 98109
Phone (206) 378-5755

18021 15th Ave NE
Ste 200
Shoreline, WA 98155
Phone (206) 524-1330

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291680000000",
    "number": "1851392674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 QUEEN ANNE AVE N",
            "address_2": "#201",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981092370",
            "telephone_number": "206-378-5755",
            "fax_number": "206-219-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 QUEEN ANNE AVE N",
            "address_2": "#201",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981092370",
            "telephone_number": "206-378-5755",
            "fax_number": "206-219-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONG",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2010-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "00033812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8349755",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUESHIELD",
            "identifier": "6421TO",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUESHIELD",
            "identifier": "6047TO",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR & INDUSTRIE",
            "identifier": "0144667",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "1905840",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; 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.