Individual provider Active NPI

Duncan A McCullough, RPSGT, CCSH

  • Other Specialist/Technologist
  • Burien, WA
National Provider Identifier
1114566155
Registry record updated Dec 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other Specialist/TechnologistTaxonomy code 246Z00000X
Practice address
13121 12TH Ave S
Burien, WA 98168-2874
Phone
(504) 264-2236
NPI assigned
Dec 21, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/Technologist 246Z00000X Primary

Addresses

Primary practice location

13121 12TH Ave S
Burien, WA 98168-2874

Mailing address

13121 12TH Ave S
Burien, WA 98168-2874

Other identifiers 2

IdentifierTypeStateIssuer
030OtherBPRT, CCSH
14065OtherBPRT, RPSGT

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.seattlesleepcoach.com Direct

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1576886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576886400000",
    "number": "1114566155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13121 12TH AVE S",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981682874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13121 12TH AVE S",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981682874",
            "telephone_number": "504-264-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "DUNCAN",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "RPSGT, CCSH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-21",
        "last_updated": "2019-12-21",
        "certification_date": "2019-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BPRT, CCSH",
            "identifier": "030",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BPRT, RPSGT",
            "identifier": "14065",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.seattlesleepcoach.com",
            "affiliation": "N",
            "endpointDescription": "Website for medical consulting",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "13121 12th Ave S",
            "city": "Burien",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981682874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2019; 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.