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TETUAN INNOVATIVE CHIROPRACTIC CARE P.S.
NPI 1861738064
Chiropractor in Bellevue, WA

Active since December 17, 2012
1215 120TH AVE NE, SUITE 100, BELLEVUE, WA 98005(425) 455-3300(425) 455-3304 Get Directions Write a Review

NPPES record last updated: December 17, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tetuan Innovative Chiropractic Care P.s. NPPES

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

TETUAN INNOVATIVE CHIROPRACTIC CARE P.S. (NPI 1861738064) is a healthcare organization registered as a chiropractor in Bellevue, Washington and active in the NPI registry since December 2012. The organization lists Adam Jason Tetuan, Owner, as its authorized official.

NPPES Registry Identity

NPI1861738064
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameTETUAN INNOVATIVE CHIROPRACTIC CARE P.S.
Location Address1215 120TH AVE NE, SUITE 100Bellevue, WA 98005-2135
Mailing Address1215 120th Ave Ne, Suite 100Bellevue, WA 98005-2135 · (425) 455-3300 · Fax (425) 455-3304
Phone(425) 455-3300
Fax(425) 455-3304
Organization SubpartNo
Authorized OfficialAdam Jason TetuanOwner · (425) 455-3300
Enumeration DateDecember 17, 2012
✔ NPI 1861738064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1215 120TH AVE NE, Bellevue, WA 98005
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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 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)

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

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

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 IDO20130321000204Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
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 Tetuan Innovative Chiropractic Care P.S., which bills Medicare for the services this clinician delivers.

Clinician (1)

Adam Tetuan, D.C.
Chiropractic
NPI 1972610665
1215 120TH AVE NE STE 100
Bellevue, WA 98005
(425) 455-3300
✔ 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 Tetuan Innovative Chiropractic Care P.S.'s NPI number?

The NPI number for Tetuan Innovative Chiropractic Care P.S. is 1861738064. It was assigned to this organization in the NPPES registry on December 17, 2012.

Where is Tetuan Innovative Chiropractic Care P.S. located?

Tetuan Innovative Chiropractic Care P.S. is located at 1215 120th Ave NE Suite 100, Bellevue, WA 98005. The listed phone number is (425) 455-3300.

What is Tetuan Innovative Chiropractic Care P.S.'s specialty?

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

Is Tetuan Innovative Chiropractic Care P.S. enrolled in Medicare?

Yes. Tetuan Innovative Chiropractic Care P.S. is registered in the Medicare PECOS enrollment system.

When is Tetuan Innovative Chiropractic Care 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 March 31, 2027. 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 Tetuan Innovative Chiropractic Care P.S.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Tetuan Innovative Chiropractic Care 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 Tetuan Innovative Chiropractic Care P.S. accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Tetuan Innovative Chiropractic Care 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 Tetuan Innovative Chiropractic Care P.S. was last updated on December 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.