Individual provider Active NPI

Raul Alejandro Tello, D.C.

  • Chiropractor
  • Seattle, WA
National Provider Identifier
1992830277
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
999999999 Issued in WA
Practice address
411 Fairview Ave N
Seattle, WA 98109-5316
Phone
(206) 324-5433
Fax
(206) 324-1646
NPI assigned
Feb 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 999999999 WA Primary

Addresses

Primary practice location

411 Fairview Ave N
Seattle, WA 98109-5316

Mailing address

4413 36TH Ave NE
Seattle, WA 98105-5626
Phone (206) 529-9443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
999999999WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bellevue Chiropractic PS Chiropractor PastSince Dec 3, 2002 Accepting new patients
Orca Wellness PastSince Sep 1, 2015 Accepting new patients
The Center for Oral & Maxillofacial Surgery Past Accepting new patients

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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1992830277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4413 36TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981055626",
            "telephone_number": "206-529-9443",
            "fax_number": "206-529-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 FAIRVIEW AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981095316",
            "telephone_number": "206-324-5433",
            "fax_number": "206-324-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELLO",
        "first_name": "RAUL",
        "middle_name": "ALEJANDRO",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "999999999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.