Active NPI
Samuel Tong, D.C.
- Chiropractor
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 00033812
- 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, 2010
- Sex
- Male
- Sole proprietor
- No
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8349755 | Medicaid | WA | |
| 6421TO | Other | WA | REGENCE BLUESHIELD |
| 6047TO | Other | WA | REGENCE BLUESHIELD |
| 0144667 | Other | WA | DEPT OF LABOR & INDUSTRIE |
| 1905840 | Other | WA | FIRST HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 00033812 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tongsingyiu, LLC | Chiropractor | Current | 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.
-
- Chiropractor
- Shoreline, WA
- NPI 1154593093
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.