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Deactivated NPI 1235104712 Deactivated / Inactive NPI Male Practitioner

Dr. J Marvin Gaddis , DC

Chiropractor • Lake Stevens, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. J Gaddis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 20, 2006
NPI Deactivation Date November 01, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. J Gaddis, DC was a registered Chiropractor practicing in Lake Stevens, WA. Throughout an active medical career spanning 16 years, Dr. Gaddis provided care at the practice location at 905 HWY 9 until profile deactivation on 2022-11-01.

Historical Medicare Part B clinical services included chiropractic manipulative treatment, 3-4 spinal regions, chiropractic manipulative treatment, 1-2 spinal regions. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

905 Hwy 9

Lake Stevens, WA 982589484

Telephone 4253345066
Fax 4253354787
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Lake Stevens, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 31.3 Yrs
State Avg: 23.7 Yrs
Regional Practice Density
14 Specialists

Practicing in Lake Stevens, WA (3154 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
46.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98941 Chiropractic manipulative treatment, 3-4 spinal regions
345 31 $75.00 $39.89

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License WA CH00000734

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1053684241

Doctor of Chiropractic

NPI 1790905347

Doctor of Chiropractic

Yunjo Song

Chiropractor

NPI 1821506924

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 01, 2022

Record deactivated on November 01, 2022

NPI Profile Active January 07, 2015

NPI status registered as active in NPPES database

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Updated Practice Location January 07, 2015

Registered at 905 HWY 9, LAKE STEVENS, WA 982589484 (Tel: 4253345066)

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Updated Business Mailing Address January 07, 2015

Registered at 905 HWY 9, LAKE STEVENS, WA 982589484 (Tel: 4253345066)

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Provider Name / Credentials Updated January 07, 2015

Recorded as J GADDIS, D.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 07, 2015

Chiropractor (License #CH00000734 in WA)

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Initial NPI Registration & Enumeration February 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235104712
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 20, 2006
Last Update: January 07, 2015
Deactivation Date: November 01, 2022

Mailing Address

905 Hwy 9

Lake Stevens, WA 982589484

Phone: 4253345066

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.