Individual provider Active NPI

Paulo Trent Webb

  • Chiropractor
  • Lynnwood, WA
National Provider Identifier
1962220962
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH61609562 Issued in WA
Practice address
7127 196TH St SW Ste 101
Lynnwood, WA 98036-5078
Phone
(425) 775-6986
NPI assigned
Sep 30, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH61609562 WA Primary

Addresses

Primary practice location

7127 196TH St SW Ste 101
Lynnwood, WA 98036-5078

Mailing address

18515 83Rd Ave W
Edmonds, WA 98026-5825
Phone (310) 710-4395

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241023002302 WA Practitioner - Chiropractic 7719410281 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olympic Spine and Sports Therapy PCGroup PAC ID 7416844345, 3 clinicians

Practice addresses (Care Compare)

6603 220TH St SW
Suite 102
Mountlake Terrace, WA 98043-2186
Phone (425) 774-2411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH61609562WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ty C Westenhaver Chiropractor CurrentSince Sep 30, 2024 Accepting new patients
Olympic Spine and Sports Therapy PC Chiropractor CurrentSince Aug 5, 2025 Accepting new patients
Olympic Pain Solutions PastSince Dec 6, 2020 Accepting new patients

Locations

7127 196th St SW
Ste 101
Lynnwood, WA 98036
Phone (425) 775-6986

6603 220th St SW
Ste 102
Mountlake Terrace, WA 98043
Phone (425) 247-3231

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1962220962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18515 83RD AVE W",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980265825",
            "telephone_number": "310-710-4395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7127 196TH ST SW STE 101",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365078",
            "telephone_number": "425-775-6986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "PAULO",
        "middle_name": "TRENT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61609562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.