Individual provider Active NPI

Alex Castellanos, DC

  • Chiropractor
  • Tukwila, WA
National Provider Identifier
1942087671
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH61477806 Issued in WA
Practice address
13028 Interurban Ave S Ste 106
Tukwila, WA 98168-3340
Phone
(206) 957-7950
NPI assigned
Sep 14, 2023
Last updated
Sep 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH61477806 WA Primary

Addresses

Primary practice location

13028 Interurban Ave S Ste 106
Tukwila, WA 98168-3340

Mailing address

943 W Ruby St
Pasco, WA 99301-3642
Phone (509) 948-1723

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231129000780 WA Practitioner - Chiropractic 4981052180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gonstead Chiropractic of Seattle PCGroup PAC ID 8426313404, 3 clinicians

Practice addresses (Care Compare)

13028 Interurban Ave S
Suite 106
Tukwila, WA 98168-3340
Phone (206) 957-7950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gonstead Chiropractic of Seattle PC Chiropractor CurrentSince Oct 11, 2023 Accepting new patients

Locations

13028 Interurban Ave S
Ste 106
Tukwila, WA 98168
Phone (206) 957-7950

Organizations & group practices 1

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": "1694649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1942087671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 W RUBY ST",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993013642",
            "telephone_number": "509-948-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13028 INTERURBAN AVE S STE 106",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981683340",
            "telephone_number": "206-957-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELLANOS",
        "first_name": "ALEX",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61477806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tukwila, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.