ELI BENTABOU CHIROPRACTIC & WELLNESS CENTER LLC
NPI 1417544008
Chiropractor in Freeland, WA

Q: What is Eli Bentabou Chiropractic & Wellness Center LLC's specialty?

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

Active since December 29, 2020

1705 MAIN ST, FREELAND, WA 98249(360) 331-2225 Get Directions Write a Review

NPPES record last updated: December 29, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Eli Bentabou Chiropractic & Wellness Center Llc NPPES

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

ELI BENTABOU CHIROPRACTIC & WELLNESS CENTER LLC (NPI 1417544008) is a healthcare organization registered as a chiropractor in Freeland, Washington and active in the NPI registry since December 2020. The organization lists Eli Bentabou, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1417544008

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameELI BENTABOU CHIROPRACTIC & WELLNESS CENTER LLC

Location Address1705 MAIN STFreeland, WA 98249-9423

Mailing Address1705 Main StFreeland, WA 98249-9423 · (360) 331-2225

Phone(360) 331-2225

Organization SubpartNo

Authorized OfficialEli BentabouChiropractor · (360) 331-2225

Enumeration DateDecember 29, 2020

NPPES CertifiedDecember 29, 2020

✔ NPI 1417544008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

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.

Also ListedMassage TherapistTaxonomy 225700000X

1705 MAIN ST, Freeland, WA 98249

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Other Identifiers 1

Other1952549057CA · Npi 1

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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)

Eli Bentabou Chiropractic & Wellness Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 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 IDO20210311002209Non-DME Part B · Clinic/Group PracticeDue dateOctober 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 Eli Bentabou Chiropractic & Wellness Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Eli Bentabou, DC

Chiropractic

NPI 1952549057

4125 MOHR AVE SUITE F
Pleasanton, CA 94566

(510) 355-5326

✔ Accepts Medicare714 mi

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 Eli Bentabou Chiropractic & Wellness Center LLC's NPI number?

The NPI number for Eli Bentabou Chiropractic & Wellness Center LLC is 1417544008. It was assigned to this organization in the NPPES registry on December 29, 2020.

Where is Eli Bentabou Chiropractic & Wellness Center LLC located?

Eli Bentabou Chiropractic & Wellness Center LLC is located at 1705 Main St, Freeland, WA 98249. The listed phone number is (360) 331-2225.

What is Eli Bentabou Chiropractic & Wellness Center LLC's specialty?

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

Is Eli Bentabou Chiropractic & Wellness Center LLC enrolled in Medicare?

Yes. Eli Bentabou Chiropractic & Wellness Center LLC is registered in the Medicare PECOS enrollment system.

When is Eli Bentabou Chiropractic & Wellness Center LLC'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 October 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 Eli Bentabou Chiropractic & Wellness Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Eli Bentabou Chiropractic & Wellness Center LLC. 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 Eli Bentabou Chiropractic & Wellness Center LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Eli Bentabou Chiropractic & Wellness Center LLC 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 Eli Bentabou Chiropractic & Wellness Center LLC was last updated on December 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.