Individual provider Active NPI

Ryan Everett Culp, D.C.

  • Chiropractor
  • Everett, WA
National Provider Identifier
1073873808
Registry record updated Dec 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH34768 Issued in WA
Practice address
15 SW Everett Mall Way
Ste G
Everett, WA 98204-2715
Phone
(425) 355-5222
Fax
(425) 355-5231
NPI assigned
May 27, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH34768 WA Primary

Addresses

Primary practice location

15 SW Everett Mall Way
Ste G
Everett, WA 98204-2715

Mailing address

15 SW Everett Mall Way
Ste G
Everett, WA 98204-2715
Phone (425) 355-5222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH34768WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Functional Health Consulting, LLC Chiropractor CurrentSince Aug 1, 2015 Accepting new patients
Functional Health Consulting, LLC CurrentSince Aug 1, 2015 Accepting new patients
Functional Health Consulting, LLC Current Accepting new patients
Wheeler Chiropractic, P.S. Chiropractor Past Accepting new patients
Functional Health Consulting, LLC Chiropractor Past Accepting new patients

Locations

606 120th Ave NE
Ste 100
Bellevue, WA 98005
Phone (425) 688-0223

209 E Casino Rd
Ste A
Everett, WA 98208
Phone (425) 355-5222

15 SW Everett Mall Way
Ste G
Everett, WA 98204
Phone (425) 355-5222

11901 NE Village Plz
Ste 261
Kirkland, WA 98034
Phone (425) 814-2800

2014 E Madison St
Ste 100
Seattle, WA 98122
Phone (206) 726-9551

2914 E Madison St
Ste 109
Seattle, WA 98112
Phone (206) 333-0564

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1338076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482796800000",
    "number": "1073873808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SW EVERETT MALL WAY",
            "address_2": "STE G",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982042715",
            "telephone_number": "425-355-5222",
            "fax_number": "425-355-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SW EVERETT MALL WAY",
            "address_2": "STE G",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982042715",
            "telephone_number": "425-355-5222",
            "fax_number": "425-355-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULP",
        "first_name": "RYAN",
        "middle_name": "EVERETT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-27",
        "last_updated": "2016-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH34768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; 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.