Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Stefan Richard Black, DC

Individual provider Chiropractor · NPI 1114082401

Dr. Stefan Richard Black, DC is a Chiropractic in Bellevue, Washington. Graduated from Western States College of Chiropractic in 2002, 24 years ago. Accepts Medicare assignment. Licensed in Washington.

Years since qualifying
24
Trained at
Western States College of Chiropractic
Licensed in
WA
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

15100 SE 38th St 305B
Bellevue, WA 98006
Phone: (425) 289-0092
Fax: (425) 289-0095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CH00034220 (WA)

Record details

NPI number1114082401
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedDecember 27, 2006
Last updated in NPPESMay 11, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolWESTERN STATES COLLEGE OF CHIROPRACTIC
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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