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NPI · 1386860492 · NPPES-sourced

Sam Pettibon D.O.

ActiveRehabilitation Chiropractor
NPI Number
1386860492
Type 1 · Individual
Taxonomy Code
111NR0400X
Contact
(253) 839-5644
License WA · 2174
Last Updated
Enumerated
Primary practice addressWA · 98003-4902
30804 Pacific Hwy SFederal Way, WA 98003-4902
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About this NPIWhat this record shows.

NPI 1386860492 is registered to Sam Pettibon D.O., a Rehabilitation Chiropractor practising at 30804 Pacific Hwy S in Federal Way, Washington. Rehabilitation Chiropractor is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Sam Pettibon D.O. has been enumerated in the National Provider Identifier (NPI) registry since 2007.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • PE5678WA· Issued by REGENCE INSURANCE PROVIDE
  • 73321WA· Issued by L & I PROVIDER

Medicaid

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Sam Pettibon D.O. accepts. To confirm in-network status with your specific health plan, contact Sam Pettibon D.O. directly at (253) 839-5644.

Frequently asked

Yes. NPI 1386860492 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Rehabilitation Chiropractor is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (253) 839-5644.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Sam Pettibon D.O. is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy111NR0400X
Last updated
Enumerated
StatusActive
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