Van Driessche Chiropractic P S

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

CH00003284 Issued in WA

Legal business name

VAN DRIESSCHE CHIROPRACTIC P S

Practice address

12704 Mukilteo Speedway Ste C
Mukilteo, WA 98275-5720

Phone

(425) 290-1919

Fax

(425) 353-9690

NPI assigned

Jun 12, 2008

Last updated

Nov 10, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marc Van Driessche, DCNPI 1417041419

Title

Physician

Phone

(425) 290-1919

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marc Y Van Driessche, D.C.

  • Chiropractor
  • Mukilteo, WA
  • NPI 1417041419
  Medicare reassignment Authorized official
• Jennifer Lucille Arndt, LMP

  • Massage Therapist
  • Mukilteo, WA
  • NPI 1073739868
  NPD (past)
• Melissa Ann Fulfer, LMP

  • Massage Therapist
  • Mukilteo, WA
  • NPI 1174733315
  NPD (past)
• Shiloh Smith, LMP

  • Specialist
  • Mukilteo, WA
  • NPI 1609902204
  NPD (past)

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1184884108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12704 MUKILTEO SPEEDWAY STE C",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982755720",
            "telephone_number": "425-290-1919",
            "fax_number": "425-353-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12704 MUKILTEO SPEEDWAY STE C",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982755720",
            "telephone_number": "425-290-1919",
            "fax_number": "425-353-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN DRIESSCHE CHIROPRACTIC P S",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "VAN DRIESSCHE",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "425-290-1919",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "WA",
            "license": "CH00003284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2019560",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurie June Tutton, ND, LAC
• Adonijah Twigg, LMP
• Jason Ulrich
• Molly Ulrich, LMT
• Elizabeth Michelle Valentine IV, M.S., R. PH.
• Marc Y Van Driessche, D.C.
• Kellye S Vaughn, LMP
• Brittany Velaborja, MA, LMFT
• Mario Alberto Velasquez, DNP, ARNP, PMHNP-BC
• Michael Virata, PTA

• Preferred Provider Organization in Mukilteo, WA
• Providers in Mukilteo, WA by specialty
• Preferred Provider Organization in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.