Active NPI
Chad Douglas Fashant, L.M.P.
- Specialist
- Federal Way, WA
National Provider Identifier
1871701169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA00017855
- Practice address
- 1612 SW Dash Point Rd
Federal Way, WA 98023-4530 - Phone
- (253) 835-5678
- Fax
- (253) 835-7342
- NPI assigned
- May 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA00017855 | WA | Primary |
Addresses
Primary practice location
1612 SW Dash Point Rd
Federal Way, WA 98023-4530
Mailing address
17041 34TH Ave S
Seatac, WA 98188-4449
Phone (206) 218-7648
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA00017855 | WA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yip Chiropractic, Inc. | Past | Accepting new patients |
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.
-
- Chiropractor
- Federal Way, WA
- NPI 1164607560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871701169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17041 34TH AVE S",
"city": "SEATAC",
"state": "WA",
"postal_code": "981884449",
"telephone_number": "206-218-7648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1612 SW DASH POINT RD",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980234530",
"telephone_number": "253-835-5678",
"fax_number": "253-835-7342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FASHANT",
"first_name": "CHAD",
"middle_name": "DOUGLAS",
"credential": "L.M.P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA00017855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Federal Way, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.