Matthew Dee McMullin, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 60536551 Issued in WA

Practice address

21707 103Rd Avenue CT E
Suite B201
Graham, WA 98338-8308

Phone

(253) 655-7262

NPI assigned

Jul 30, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Practitioners 1

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

• Tennille Bernard, DC

  • Chiropractor
  • Graham, WA
  • NPI 1801334156
  Medicare reassignment

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.

• McMullin Family Chiropractic, PLLC

  • Chiropractor
  • Graham, WA
  • NPI 1225894918
  NPD Authorized official

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438214400000",
    "number": "1073999165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21707 103RD AVENUE CT E",
            "address_2": "SUITE B201",
            "city": "GRAHAM",
            "state": "WA",
            "postal_code": "983388308",
            "telephone_number": "253-655-7262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21707 103RD AVENUE CT E",
            "address_2": "SUITE B201",
            "city": "GRAHAM",
            "state": "WA",
            "postal_code": "983388308",
            "telephone_number": "253-655-7262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMULLIN",
        "first_name": "MATTHEW",
        "middle_name": "DEE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-30",
        "last_updated": "2015-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH 60536551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karina Mason, SUDPT
• Austin Jair Mathews
• Maree L McBrayer, CNA
• Brenna McDaniel
• McMullin Family Chiropractic, PLLC
• Michael David McMullin, LMP
• Natalia Regina Mejia
• Aracely Mendez, CBT/RBT
• Eric Karl Miller, M.A.
• Heather Mills, RN, IBCLC

• Chiropractor in Graham, WA
• Providers in Graham, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.