Active NPI
Barry A Quam, DC PS
- Chiropractor
- Kent, WA
National Provider Identifier
1902842958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00001274
- Practice address
- 25012 104TH Ave SE
Suite E
Kent, WA 98030-2821 - Phone
- (253) 854-1233
- Fax
- (253) 854-1297
- NPI assigned
- Jun 20, 2006
- Last updated
- Feb 8, 2011
- Sex
- Male
- Sole proprietor
- No
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 | CH00001274 | WA | Primary |
Addresses
Primary practice location
25012 104TH Ave SE
Suite E
Kent, WA 98030-2821
Mailing address
25012 - 104TH Ave SE
Suite E
Kent, WA 98030-2821
Phone (253) 854-1233
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0003977 | Other | WA | L&I |
| 459124001 | Other | WA | GROUP HEALTH INS |
| QU5942 | Other | REGENCE INSURANCE | |
| 2023703 | Medicaid | WA | |
| 911088995 | Other | TAX ID | |
| QU0183 | Other | GROUP # | |
| 193043300 | Other | US DEPT OF LABOR FEDERAL | |
| 601798401 | Other | WASHINGTON STATE UBI |
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 |
|---|---|---|---|
| CH00001274 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raich Enterprises, LLC | Chiropractor | Past | Accepting new patients |
| Barry a Quam DC PS | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297123200000",
"number": "1902842958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25012 - 104TH AVE SE",
"address_2": "SUITE E",
"city": "KENT",
"state": "WA",
"postal_code": "980302821",
"telephone_number": "253-854-1233",
"fax_number": "253-854-1297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25012 104TH AVE SE",
"address_2": "SUITE E",
"city": "KENT",
"state": "WA",
"postal_code": "980302821",
"telephone_number": "253-854-1233",
"fax_number": "253-854-1297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUAM",
"first_name": "BARRY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DC PS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2011-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00001274",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "0003977",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH INS",
"identifier": "459124001",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE INSURANCE",
"identifier": "QU5942",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2023703",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "911088995",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP #",
"identifier": "QU0183",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR FEDERAL",
"identifier": "193043300",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON STATE UBI",
"identifier": "601798401",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.