NPIMap

Organization Active NPI

Bothell Regenerative Medicine

  • Naturopath
  • Bothell, WA
National Provider Identifier
1043872716
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
Legal business name
BOTHELL REGENERATIVE MEDICINE
Practice address
18920 Bothell Way NE Ste 100
Bothell, WA 98011-1981
Phone
(425) 486-1122
NPI assigned
Jul 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael D. Kaufman, DCNPI 1083611099
Title
Owner
Phone
(425) 486-1122

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 175F00000X Primary

Addresses

Primary practice location

18920 Bothell Way NE Ste 100
Bothell, WA 98011-1981

Mailing address

18920 Bothell Way NE Ste 100
Bothell, WA 98011-1981
Phone (425) 486-1122

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 33

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562025600000",
    "number": "1043872716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18920 BOTHELL WAY NE STE 100",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980111981",
            "telephone_number": "425-486-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18920 BOTHELL WAY NE STE 100",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980111981",
            "telephone_number": "425-486-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOTHELL REGENERATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-486-1122",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.