Individual provider Active NPI

Alan Steven Ludwig, D.C.

  • Chiropractor
  • Auburn, WA
National Provider Identifier
1861546426
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00001452 Issued in WA
Practice address
1408 Lake Tapps Pkwy E
Suite E-105
Auburn, WA 98092-8158
Phone
(253) 735-0123
Fax
(253) 735-0759
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00001452 WA Primary

Addresses

Primary practice location

1408 Lake Tapps Pkwy E
Suite E-105
Auburn, WA 98092-8158

Mailing address

1408 Lake Tapps Pkwy E
Suite E-105
Auburn, WA 98092-8158
Phone (253) 735-0123

Other identifiers 1

IdentifierTypeStateIssuer
56527OtherWALABOR & INDUSTRIES

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090827000521 WA Practitioner - Chiropractic 4587719547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1979
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

19950 S Prairie Rd E
Bonney Lake, WA 98391-7901
Phone (253) 735-0123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ludwig Chiropractic Center, P.S. Chiropractor CurrentSince Mar 10, 2010 Accepting new patients

Locations

1408 Lake Tapps Pkwy SE
Ste E105
Auburn, WA 98092
Phone (253) 260-6614

1408 Lake Tapps Pkwy SE
Auburn, WA 98092
Phone (253) 351-0092

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861546426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 LAKE TAPPS PKWY E",
            "address_2": "SUITE E-105",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980928158",
            "telephone_number": "253-735-0123",
            "fax_number": "253-735-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 LAKE TAPPS PKWY E",
            "address_2": "SUITE E-105",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980928158",
            "telephone_number": "253-735-0123",
            "fax_number": "253-735-0759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDWIG",
        "first_name": "ALAN",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "56527",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.