Active NPI
Mark M Travers, DC
- Chiropractor
- Kirkland, WA
National Provider Identifier
1104043538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH34314
- Practice address
- 620 Kirkland Way
Ste 105
Kirkland, WA 98033-6021 - Phone
- (425) 822-1859
- Fax
- (425) 822-2920
- NPI assigned
- Apr 19, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH34314 | WA | Primary |
Addresses
Primary practice location
620 Kirkland Way
Ste 105
Kirkland, WA 98033-6021
Mailing address
620 Kirkland Way
Ste 105
Kirkland, WA 98033-6021
Phone (425) 822-1859
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
| License | State | Type | Specialty |
|---|---|---|---|
| CH34314 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Association of University Physicians | Past | Accepting new patients | |
| Jeff Hall Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104043538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 KIRKLAND WAY",
"address_2": "STE 105",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980336021",
"telephone_number": "425-822-1859",
"fax_number": "425-822-2920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 KIRKLAND WAY",
"address_2": "STE 105",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980336021",
"telephone_number": "425-822-1859",
"fax_number": "425-822-2920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAVERS",
"first_name": "MARK",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH34314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.