JOEVIEL MANZANILLA (DC) – Chiropractor, NPI 1013638980

JOEVIEL MANZANILLA (DC) is a healthcare provider. based in Federal way, Washington. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. 61350750 (WA). The NPI Number for JOEVIEL MANZANILLA (DC) is 1013638980

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
JOEVIEL MANZANILLA (DC)
NPI
1013638980
Phone
(253) 838-1441
Address
1426 S 324TH ST STE B115
Enumeration Date
8 September 2022
Last Update Date
8 September 2022

Doctor Profile

Medical School Name
LIFE CHIROPRACTIC COLLEGE
Secondary Phone
3605709580
Graduation Year
2019 (7 years ago)
PAC ID
7618316746
Group Practice PAC ID
4385669985
Professional Enrollment ID
I20240422002039
Address ID
WA985014064TU128XXSWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,415 CHIROPRACTIC in WA

Provider Addresses for JOEVIEL MANZANILLA (DC)

  • 1426 S 324TH ST STE B115

    FEDERAL WAY, WA 980038486

    Phone: (253) 838-1441

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240422002039IChiropracticWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98003)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385669985View full group profile
NameSpecialtyState
Chiropractic, Sports MedicineWA
C H I R O P R A C T I CWA
C H I R O P R A C T I CWA
-WA
C H I R O P R A C T I CWA
C H I R O P R A C T I CWA
C H I R O P R A C T I CWA

Reviews

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Frequently asked questions

Is there an official ID for JOEVIEL MANZANILLA (DC) in U.S. healthcare records?
The official identifier for JOEVIEL MANZANILLA (DC) is NPI 1013638980.
Is JOEVIEL MANZANILLA (DC) still an active registrant?
JOEVIEL MANZANILLA (DC) carries an active NPI according to the public dataset.
What expertise is attributed to JOEVIEL MANZANILLA (DC)?
JOEVIEL MANZANILLA (DC)'s specialty line reads Chiropractor. Clinical services aligned with this taxonomy classification.
Is JOEVIEL MANZANILLA (DC) associated with Federal Way?
Public fields place JOEVIEL MANZANILLA (DC) around Federal Way, Washington. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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