FAIRWOOD CHIROPRACTIC CLINIC
NPI 1861031684
Chiropractor in Renton, WA

Q: What is Midway Healthcare Therapeutics LLC's NPI number?

The NPI number for Midway Healthcare Therapeutics LLC is 1861031684. It was assigned to this organization in the NPPES registry on December 26, 2019. The provider is doing business as Fairwood Chiropractic Clinic.

Q: What is Midway Healthcare Therapeutics LLC's specialty?

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

Active since December 26, 2019

14410 SE PETROVITSKY RD STE 109, RENTON, WA 98058(425) 226-1856(425) 226-0231 Get Directions Write a Review

NPPES record last updated: January 23, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 23, 2020, Dec 26, 2019 (2 updates tracked since 2019).

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About Fairwood Chiropractic Clinic NPPES

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

FAIRWOOD CHIROPRACTIC CLINIC (NPI 1861031684) is a healthcare organization registered as a chiropractor in Renton, Washington and active in the NPI registry since December 2019. The organization lists Tallon Nishihata, General Operations, as its authorized official.

NPPES Registry Identity

NPI1861031684

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameMIDWAY HEALTHCARE THERAPEUTICS LLC

Location Address14410 SE PETROVITSKY RD STE 109Renton, WA 98058-8900

Mailing Address14410 Se Petrovitsky Rd Ste 109Renton, WA 98058-8900 · (425) 226-1856 · Fax (425) 226-0231

Phone(425) 226-1856

Fax(425) 226-0231

Organization SubpartYes

Authorized OfficialTallon NishihataGeneral Operations · (206) 824-9500

Enumeration DateDecember 26, 2019

Last NPPES UpdateJanuary 23, 20202 updates tracked since enumeration

✔ NPI 1861031684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 ListedAcupuncturistTaxonomy 171100000X

Also ListedMassage TherapistTaxonomy 225700000X

14410 SE PETROVITSKY RD STE 109, Renton, WA 98058

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Other Names 1

Doing Business AsFairwood Chiropractic Clinic

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fairwood Chiropractic Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 8 clinicians reassign Medicare billing to Fairwood Chiropractic Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Steven Ryan, DC

Chiropractic

NPI 1376695486

14410 SE PETROVITSKY RD STE 109
Renton, WA 98058

(425) 226-1856

✔ PECOSSame address

Craig Kagetsu, D.C.

Chiropractic

NPI 1609901081

23100 PACIFIC HWY S 201
Des Moines, WA 98198

(206) 824-9500

✔ Accepts Medicare7.7 mi

Kalyna Zydek, DC

Chiropractic

NPI 1548856404

23100 PACIFIC HWY S STE 201
Des Moines, WA 98198

(206) 824-9500

✔ Accepts Medicare7.7 mi

Martin Carrillo

Chiropractic

NPI 1376319244

23100 PACIFIC HWY S STE 201
Des Moines, WA 98198

(206) 824-9500

✔ Accepts Medicare7.7 mi

Julian Coronas

Chiropractic

NPI 1558076455

23100 PACIFIC HWY S
Des Moines, WA 98198

(206) 466-4721

✔ Accepts Medicare7.7 mi

Xavier Ibarreta, DC

Chiropractic

NPI 1124062849

23100 PACIFIC HWY S STE 201
Des Moines, WA 98198

(206) 824-9500

✔ Accepts Medicare7.7 mi

Jonah Lazar, DC

Chiropractic

NPI 1659168649

6208 196TH ST SW STE 103
Lynnwood, WA 98036

(425) 222-2812

27 mi

Maximilian Bicoff, DC

Chiropractic

NPI 1366831257

1121 SE DOCK ST
Oak Harbor, WA 98277

(360) 675-1066

63 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 Midway Healthcare Therapeutics LLC's NPI number?

The NPI number for Midway Healthcare Therapeutics LLC is 1861031684. It was assigned to this organization in the NPPES registry on December 26, 2019. The provider is doing business as Fairwood Chiropractic Clinic.

Where is Midway Healthcare Therapeutics LLC located?

Midway Healthcare Therapeutics LLC is located at 14410 SE Petrovitsky Rd Ste 109, Renton, WA 98058. The listed phone number is (425) 226-1856.

What is Midway Healthcare Therapeutics LLC's specialty?

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

Is Midway Healthcare Therapeutics LLC enrolled in Medicare?

Yes. Midway Healthcare Therapeutics LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Midway Healthcare Therapeutics LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Chiropractic, reassign their Medicare billing to Midway Healthcare Therapeutics 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. Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Midway Healthcare Therapeutics LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Midway Healthcare Therapeutics 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 Midway Healthcare Therapeutics LLC was last updated on January 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.