Dennis L. Booth. D.C., PLLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

CH00002945 Issued in WA

Legal business name

DENNIS L. BOOTH. D.C., PLLC

Practice address

1606 4TH St
Suite E
Marysville, WA 98270-5042

Phone

(360) 659-2938

Fax

(360) 658-0135

NPI assigned

Jul 24, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Dennis Leo Booth, D.C.

Title

Operating Manager

Phone

(360) 659-2938

Specialties & licenses 1

Addresses

Other names 1

• Fourth Street Chiropractic Doing business as

Locations

Practitioners 1

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

• Kenneth Lynn Sonderleiter Sr., D.C.

  • Chiropractor
  • Marysville, WA
  • NPI 1255364683
  NPD (past)

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1063677573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 4TH ST",
            "address_2": "SUITE E",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982705042",
            "telephone_number": "360-659-2938",
            "fax_number": "360-658-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 4TH ST",
            "address_2": "SUITE E",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982705042",
            "telephone_number": "360-659-2938",
            "fax_number": "360-658-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS L. BOOTH. D.C., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "BOOTH",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "LEO",
        "authorized_official_title_or_position": "OPERATING MANAGER",
        "authorized_official_telephone_number": "360-659-2938",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WA",
            "license": "CH00002945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fourth Street Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fa Abigail C De Imus, MD
• Cheryl Nirmali De Silva, M.D.
• Dirk T. De Young, DDS
• Grace Gretchen Delap
• Maria Teresa Dellino
• Dental Professionals of Washington Quirt Mongrain Gibree PC
• Benjamin Devaud
• Hector Diaz-Otero, MD
• Dirk T. de Young, D.D.S.
• Rebecca Lynn Dirks, N.D.

• Health Service Clinic/Center in Marysville, WA
• Providers in Marysville, WA by specialty
• Health Service Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.