Active NPI
Jeffery Don Treadway, D.C.
- Chiropractor
- Edmonds, WA
National Provider Identifier
1992841738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00002959
- Practice address
- 22727 Highway 99
Suite 109
Edmonds, WA 98026-8381 - Phone
- (425) 774-1090
- Fax
- (425) 775-9797
- NPI assigned
- Jan 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00002959 | WA | Primary |
Addresses
Primary practice location
22727 Highway 99
Suite 109
Edmonds, WA 98026-8381
Mailing address
22727 Hwy 99
Suite 109
Edmonds, WA 98026-8381
Phone (425) 774-1090
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH00002959 | Other | WA | CHIROPRACTIC LICENSE NO. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10024 Main St
Suite 2C
Bothell, WA 98011-3464
Phone (425) 485-1413
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bothell Chiropractic & Wellness, PLLC | Current | Accepting new patients | |
| Lifeplus Health Centers, PS | Chiropractor | Current | Accepting new patients |
| Stephanie Greenall | Chiropractor | Past | Accepting new patients |
Locations
10024 Main St
Ste 2C
Bothell, WA 98011
Phone (425) 485-1413
6501 196th St SW
Ste C
Lynnwood, WA 98036
Phone (425) 775-2288
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.
-
- Health Service Clinic/Center
- Bothell, WA
- NPI 1780851477
-
- Chiropractor
- Lynnwood, WA
- NPI 1669648929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196035200000",
"number": "1992841738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22727 HWY 99",
"address_2": "SUITE 109",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980268381",
"telephone_number": "425-774-1090",
"fax_number": "425-775-9797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22727 HIGHWAY 99",
"address_2": "SUITE 109",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980268381",
"telephone_number": "425-774-1090",
"fax_number": "425-775-9797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREADWAY",
"first_name": "JEFFERY",
"middle_name": "DON",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2007-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00002959",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRACTIC LICENSE NO.",
"identifier": "CH00002959",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.