NPIMap

Organization Active NPI

Wellnessone of Eastgate, PS

  • Chiropractor
  • Bellevue, WA
National Provider Identifier
1881883460
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00003604 Issued in WA
Legal business name
WELLNESSONE OF EASTGATE, PS
Doing business as
WellnessOne Chiropractic
Practice address
14700 NE 8TH St Ste 115
Bellevue, WA 98007-4115
Phone
(425) 289-0092
Fax
(425) 644-2560
NPI assigned
Oct 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Authorized official

Name
Steven Paull Thain, DC
Title
President
Phone
(425) 289-0092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00003604 WA Primary

Addresses

Primary practice location

14700 NE 8TH St Ste 115
Bellevue, WA 98007-4115

Mailing address

14700 NE 8TH St Ste 115
Bellevue, WA 98007-4115
Phone (425) 644-8386

Other names 1

  • WellnessOne Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040316000943 WA Part B Supplier - Clinic/Group Practice 1153211081 Receives reassigned benefits from 1 practitioner
Practice locations: Bellevue, WA

National Provider Directory

National Provider Directory
Tax ID family
Wellnessone Chiropractic2 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.

Locations

14700 NE 8th St
Ste 115
Bellevue, WA 98007
Phone (425) 644-8386

14595 NE Bel Red Rd
Ste 102
Bellevue, WA 98007

15100 SE 38th St
Ste 305B
Bellevue, WA 98006
Phone (425) 289-0092

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1881883460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14700 NE 8TH ST STE 115",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980074115",
            "telephone_number": "425-644-8386",
            "fax_number": "425-644-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14700 NE 8TH ST STE 115",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980074115",
            "telephone_number": "425-289-0092",
            "fax_number": "425-644-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESSONE OF EASTGATE, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "THAIN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "PAULL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-289-0092",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellnessOne Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.