OrganizationActiveAccepts Medicare
Bellevue Chiropractic Ps
NPI 1083711212 · Chiropractor · Bellevue, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1083711212
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- John Wisman, Owner/Chiropractor(425) 637-0094
- License
- 601847969 (WA)
Specialties & taxonomies
Chiropractic Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1800 116th Ave. Ne Suite 101
Bellevue, WA 98004
Phone: (425) 637-0094
Fax: (425) 453-8298
Street-level locationGet directions
Mailing address
1800 116th Ave. Ne Suite 101
Bellevue, WA 98004
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2025-06-05
- Certified
- 2025-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.