Individual provider Active NPI

Duggan Grant Robinson, DC

  • Chiropractor
  • Maple Valley, WA
National Provider Identifier
1063855856
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH06151354 Issued in WA
Practice address
26832 Maple Valley Black Diamond Rd SE
Maple Valley, WA 98038
Phone
(425) 433-6583
Fax
(425) 433-6573
NPI assigned
Apr 10, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH06151354 WA Primary

Addresses

Primary practice location

26832 Maple Valley Black Diamond Rd SE
Maple Valley, WA 98038

Mailing address

26832 Maple Valley Black Diamond Rd SE
Maple Valley, WA 98038-8309
Phone (254) 433-6583

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130604000469 WA Practitioner - Chiropractic 2567600489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

26832 Maple Valley Black Diamond Rd
Maple Valley, WA 98038-8309
Phone (425) 433-6583

26832 Maple Valley Black Diamond Rd SE
Maple Valley, WA 98038-8309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH06151354WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Edward a. Owens, PS. Chiropractor CurrentSince Sep 1, 2008 Accepting new patients
Robinson Family Chiropractic PLLC Chiropractor CurrentSince May 14, 2018 Accepting new patients
The Center for Oral & Maxillofacial Surgery Past Accepting new patients

Locations

12727 Northup Way
Ste 18
Bellevue, WA 98005
Phone (425) 802-5432

365 118th Ave SE
Ste 110
Bellevue, WA 98005
Phone (425) 802-5432

26832 Maple Valley Black Diamond Rd SE
Maple Valley, WA 98038
Phone (425) 432-9001

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1063855856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26832 MAPLE VALLEY BLACK DIAMOND RD SE",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980388309",
            "telephone_number": "254-433-6583",
            "fax_number": "425-433-6573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26832 MAPLE VALLEY BLACK DIAMOND RD SE",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "98038",
            "telephone_number": "425-433-6583",
            "fax_number": "425-433-6573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "DUGGAN",
        "middle_name": "GRANT",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-10",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH06151354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.