DR. STEFAN RICHARD BLACK DC
NPI 1114082401
Chiropractor in Bellevue, WA
About Dr. Stefan Richard Black Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. STEFAN RICHARD BLACK DC (NPI 1114082401) is an individual chiropractor in Bellevue, Washington, licensed in Washington (CH00034220) and active in the NPI registry since December 2006. He is a graduate of Western States College Of Chiropractic (2002).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Stefan Richard Black Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Stefan Black's NPI number?
The NPI number for Stefan Black is 1114082401. It was assigned to this individual provider in the NPPES registry on December 27, 2006.
Where is Stefan Black located?
Stefan Black practices at 15100 SE 38th St 305B, Bellevue, WA 98006. The listed phone number is (425) 289-0092.
What is Stefan Black's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Stefan Black enrolled in Medicare?
Yes. Stefan Black is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Stefan Black accept?
Health plans from PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska list Stefan Black as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Stefan Black was last updated on May 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Stefan Richard Black, DC · NPI 1114082401
Chiropractor provider in Bellevue, Washington. Individual provider, active in the CMS NPPES registry since December 27, 2006.
## Identity
- **NPI:** 1114082401 (Entity type: Individual)
- **Enumerated:** December 27, 2006
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** CH00034220 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 15100 SE 38TH ST, 305B, Bellevue, WA 98006
- **Phone:** (425) 289-0092 · **Fax:** (425) 289-0095
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Medical school:** Western States College Of Chiropractic, class of 2002
## Record status
- **NPPES last updated:** May 11, 2012
- **Other identifiers:** Medicare UPIN U98431; Medicare ID-Type Unspecified G8800640 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1114082401) · Data from the CMS NPPES public registry.