STEFAN BLACK DC LLC
NPI 1801156179
Chiropractor in Seattle, WA

Active since May 21, 2012
8827 31ST AVE SW # 1, SEATTLE, WA 98126(206) 841-4031 Get Directions Write a Review

NPPES record last updated: May 21, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Stefan Black Dc Llc NPPES

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

STEFAN BLACK DC LLC (NPI 1801156179) is a healthcare organization registered as a chiropractor in Seattle, Washington and active in the NPI registry since May 2012. The organization lists Stefan Richard Black, Owner, as its authorized official.

NPPES Registry Identity

NPI1801156179
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSTEFAN BLACK DC LLC
Location Address8827 31ST AVE SW # 1Seattle, WA 98126-3718
Mailing Address8827 31st Ave SwSeattle, WA 98126-3718 · (206) 841-4031
Organization SubpartNo
Authorized OfficialStefan Richard BlackOwner · (206) 841-4031
Enumeration DateMay 21, 2012
✔ NPI 1801156179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WA · CH00034220
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.
8827 31ST AVE SW # 1, Seattle, WA 98126

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stefan Black Dc Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Stefan Black Dc LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1114082401
15100 SE 38TH ST 305B
Bellevue, WA 98006
(425) 289-0092
✔ Accepts Medicare12 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 Stefan Black Dc LLC's NPI number?

The NPI number for Stefan Black Dc LLC is 1801156179. It was assigned to this organization in the NPPES registry on May 21, 2012.

Where is Stefan Black Dc LLC located?

Stefan Black Dc LLC is located at 8827 31st Ave SW # 1, Seattle, WA 98126. The listed phone number is (206) 841-4031.

What is Stefan Black Dc LLC's specialty?

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

Is Stefan Black Dc LLC enrolled in Medicare?

Yes. Stefan Black Dc LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stefan Black Dc LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Stefan Black Dc 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 Stefan Black Dc LLC accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Stefan Black Dc 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 Stefan Black Dc LLC was last updated on May 21, 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.