1. Home
  2. Directory
  3. Washington
  4. Seattle
  5. Chiropractor
  6. NPI Profile

FAUNTLEROY CHIROPRACTIC, P.S.
NPI 1225320096
Chiropractor in Seattle, WA

Active since May 11, 2011
4520 FAUNTLEROY WAY SW, SEATTLE, WA 98126(206) 932-6605(206) 933-6999 Get Directions Write a Review

NPPES record last updated: May 11, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Fauntleroy Chiropractic, P.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAUNTLEROY CHIROPRACTIC, P.S. (NPI 1225320096) is a healthcare organization registered as a chiropractor in Seattle, Washington and active in the NPI registry since May 2011. The organization lists Bryan Scott Wiebe, Owner/chiropractor, as its authorized official.

NPPES Registry Identity

NPI1225320096
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameFAUNTLEROY CHIROPRACTIC, P.S.
Location Address4520 FAUNTLEROY WAY SWSeattle, WA 98126-2740
Mailing Address4520 Fauntleroy Way SwSeattle, WA 98126-2740 · (206) 932-6605 · Fax (206) 933-6999
Phone(206) 932-6605
Fax(206) 933-6999
Organization SubpartNo
Authorized OfficialBryan Scott WiebeOwner/chiropractor · (206) 932-6605
Enumeration DateMay 11, 2011
✔ NPI 1225320096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WA · CH3113
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
4520 FAUNTLEROY WAY SW, Seattle, WA 98126
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fauntleroy Chiropractic, P.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateWashingtonEnrollment IDO20110928000175Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Fauntleroy Chiropractic, P.S., which bills Medicare for the services this clinician delivers.

Clinician (1)

Bryan Wiebe, DC
Chiropractic
NPI 1790826873
4520 FAUNTLEROY WAY SW
Seattle, WA 98126
(206) 932-6605
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Fauntleroy Chiropractic, P.S.'s NPI number?

The NPI number for Fauntleroy Chiropractic, P.S. is 1225320096. It was assigned to this organization in the NPPES registry on May 11, 2011.

Where is Fauntleroy Chiropractic, P.S. located?

Fauntleroy Chiropractic, P.S. is located at 4520 Fauntleroy Way SW, Seattle, WA 98126. The listed phone number is (206) 932-6605.

What is Fauntleroy Chiropractic, P.S.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Fauntleroy Chiropractic, P.S. enrolled in Medicare?

Yes. Fauntleroy Chiropractic, P.S. is registered in the Medicare PECOS enrollment system.

When is Fauntleroy Chiropractic, P.S.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Washington, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Fauntleroy Chiropractic, P.S.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Fauntleroy Chiropractic, P.S.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Fauntleroy Chiropractic, P.S. accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Fauntleroy Chiropractic, P.S. 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 Fauntleroy Chiropractic, P.S. was last updated on May 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.