Robert Edward Buclaw III, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00034618 Issued in WA

Practice address

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

Phone

(253) 632-5320

Fax

(253) 214-7444

NPI assigned

Sep 21, 2006

Last updated

Jan 16, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 1999

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Buclaw, LLC

  dba AGLA Chiropractic

  • Chiropractor
  • Federal Way, WA
  • NPI 1912236555
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1972602548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23955",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980930955",
            "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": {
        "last_name": "BUCLAW",
        "first_name": "ROBERT",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "1464",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5690",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE LABOR AND INDUSTRY PIN",
            "identifier": "0346489",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Mark Buchanan, LMT
• Samantha Blair Buchanan
• Charles P Buck, MD
• William De Witt Buckley, B.S.
• Buclaw, LLC (AGLA Chiropractic)
• Racquel Smith Bueno, M.D.
• Philip Narciso Buenvenida, MD
• Bug Lactation & Postpartum Care
• Tynece L Buggs-Tompson, FNP-C
• Ai-Hien Thi Bui, D.O.

• Chiropractor in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Chiropractor in Washington

• 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.
• 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.