Organization Active NPI

Buclaw, LLC

Doing business as AGLA Chiropractic

  • Chiropractor
  • Federal Way, WA
National Provider Identifier
1912236555
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034618 Issued in WA
Legal business name
BUCLAW, LLC
Doing business as
AGLA Chiropractic
Practice address
1707 S 341St PL Ste a
Federal Way, WA 98003-6867
Phone
(253) 632-5320
Fax
(253) 214-7444
NPI assigned
Dec 10, 2009
Last updated
Jan 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Authorized official

Name
Dr. Robert Edward Buclaw III, D.C.NPI 1972602548
Title
Owner/Member-Manager
Phone
(253) 632-5320

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00034618 WA Primary

Addresses

Primary practice location

1707 S 341St PL Ste a
Federal Way, WA 98003-6867

Mailing address

P.O. Box 23955
Federal Way, WA 98093
Phone (253) 632-5320

Other identifiers 1

IdentifierTypeStateIssuer
0346488OtherWAWA STATE LABOR AND INDUSTRIES PIN

Other names 1

  • AGLA Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141107000820 WA Part B Supplier - Clinic/Group Practice 4688896640 Receives reassigned benefits from 1 practitioner
Practice locations: Federal Way, WA

National Provider Directory

National Provider Directory

Locations

1707 S 341st Pl
Ste A
Federal Way, WA 98003
Phone (253) 632-5320

2500 SW 336th St
Ste E
Federal Way, WA 98023
Phone (253) 838-6611

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579132800000",
    "number": "1912236555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 23955",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "98093",
            "telephone_number": "253-632-5320",
            "fax_number": "253-214-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 S 341ST PL STE A",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036867",
            "telephone_number": "253-632-5320",
            "fax_number": "253-214-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCLAW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-10",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A",
        "authorized_official_last_name": "BUCLAW",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER/MEMBER-MANAGER",
        "authorized_official_telephone_number": "253-632-5320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE LABOR AND INDUSTRIES PIN",
            "identifier": "0346488",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AGLA Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AGLA Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 16, 2020; 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.