Individual provider Active NPI

Thomas Basile, DC

  • Chiropractor
  • Vashon, WA
National Provider Identifier
1871677690
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00003266 Issued in WA
Practice address
17205 Vashon Hwy SW
Vashon, WA 98070
Phone
(206) 463-1850
Fax
(206) 463-1852
NPI assigned
Oct 25, 2006
Last updated
Mar 29, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00003266 WA Primary

Addresses

Primary practice location

17205 Vashon Hwy SW
Vashon, WA 98070

Mailing address

PO Box 299
Vashon, WA 98070
Phone (206) 463-1850

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121120000148 WA Practitioner - Chiropractic 2769633858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5610 Kitsap Way
Suite 260
Bremerton, WA 98312-2266
Phone (360) 478-2100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Health by Design Wellness Center Chiropractor CurrentSince Jul 28, 2012 Accepting new patients

Locations

5610 Kitsap Way
Ste 260
Bremerton, WA 98312
Phone (360) 478-2100

17141 Vashon Hwy SW
#106
Vashon, WA 98070
Phone (206) 455-5426

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, 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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1871677690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 299",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "98070",
            "telephone_number": "206-463-1850",
            "fax_number": "206-463-1852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17205 VASHON HWY SW",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "98070",
            "telephone_number": "206-463-1850",
            "fax_number": "206-463-1852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASILE",
        "first_name": "THOMAS",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vashon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.