Active NPI
Buclaw, LLC
Doing business as AGLA Chiropractic
- Chiropractor
- Federal Way, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00034618
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0346488 | Other | WA | WA STATE LABOR AND INDUSTRIES PIN |
Other names 1
- AGLA Chiropractic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Federal Way, WA
- NPI 1972602548
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.