Thad Christopher Betzold, D.C.
Individual provider Active NPI Chiropractor · Fife, WA
NPI 1851789341 · NPPES record last updated Jun 5, 2025
Key facts
- NPI
- 1851789341
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CH60860670 (WA)
- Practice address
- 2026 54TH Ave E
Fife, WA 98424-1904 - Phone
- (253) 922-0450
- Fax
- (253) 926-1720
- NPI assigned
- Jan 6, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- CB Chiropractic PLLC
Practice addresses (Care Compare)
2026 54TH Ave E
Fife, WA 98424-1904
Phone (253) 922-0450
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231212003976 | WA | Practitioner - Chiropractic | 1052637147 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6027 | MN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CB Chiropractic PLLC | Current |
Accepting new patients |
Locations
2026 54th Ave E
Fife, WA 98424
Phone (253) 777-3889
17917 Vashon Hwy SW
Ste 7
Vashon, WA 98070
Phone (253) 922-0450
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH60860670 | WA | Yes |
| Chiropractor | 111N00000X | 6027 | MN |
Addresses
Primary practice location
2026 54TH Ave E
Fife, WA 98424-1904
Mailing address
2026 54TH Ave E
Fife, WA 98424-1904
Phone (253) 922-0450
Other providers in Fife, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.