Active NPI
Trevor Schwanz, DC
- Chiropractor
- Brush Prairie, WA
National Provider Identifier
1902258635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 60664228
- Practice address
- 21119 NE 169TH St
Brush Prairie, WA 98606-9773 - Phone
- (360) 931-0086
- NPI assigned
- Jul 6, 2016
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH 60664228 | WA | Primary |
Addresses
Primary practice location
21119 NE 169TH St
Brush Prairie, WA 98606-9773
Mailing address
21119 NE 169TH St
Brush Prairie, WA 98606-9773
Phone (360) 931-0086
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH 60664228 | WA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467763200000",
"number": "1902258635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21119 NE 169TH ST",
"city": "BRUSH PRAIRIE",
"state": "WA",
"postal_code": "986069773",
"telephone_number": "360-931-0086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21119 NE 169TH ST",
"city": "BRUSH PRAIRIE",
"state": "WA",
"postal_code": "986069773",
"telephone_number": "360-931-0086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWANZ",
"first_name": "TREVOR",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-06",
"last_updated": "2016-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH 60664228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brush Prairie, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.