Primespine PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH60150335 Issued in WA

Legal business name

PRIMESPINE PLLC

Practice address

4122 Factoria Blvd SE Ste 203
Bellevue, WA 98006-5259

Phone

(425) 590-9619

Fax

(425) 590-9641

NPI assigned

Jan 2, 2012

Organization subpart

No

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

Authorized official

Name

Benjamin Charles Baker, D.C.

Title

Chiropractor

Phone

(425) 590-9619

Specialties & licenses 1

Addresses

Other names 1

• Bellevue Therapeutic Massage Doing business as

Tax ID family

Bellevue Therapeutic Massage2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Primespine PLLC

  • Massage Therapist
  • Bellevue, WA
  • NPI 1356614085
  NPD tax ID

Locations

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

{
    "created_epoch": "1325462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325462400000",
    "number": "1871863209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4122 FACTORIA BLVD SE STE 203",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980065259",
            "telephone_number": "425-590-9619",
            "fax_number": "425-590-9641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4122 FACTORIA BLVD SE STE 203",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980065259",
            "telephone_number": "425-590-9619",
            "fax_number": "425-590-9641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMESPINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-02",
        "last_updated": "2012-01-02",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "425-590-9619",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60150335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellevue Therapeutic Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandy C Prieto
• Primary Care Associates PS
• Rachel Elizabeth Primeau, SUDP
• Timothy Primeaux, LMHC, SUDP
• Primespine PLLC
• Joel Prinos
• Priti Bhat, DDS
• Priyanka Sharma,DDS,PLLC
• Pro Medical PC
• Pro Medical PT

• Chiropractor in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.