Organization Active NPI

Kwan Integrative Clinic, LLC

  • Naturopath
  • Seattle, WA
National Provider Identifier
1184964926
Registry record updated Feb 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT60318448 Issued in WA
Legal business name
KWAN INTEGRATIVE CLINIC, LLC
Practice address
8012 15TH Ave NW
Seattle, WA 98117-3601
Phone
(425) 686-9369
NPI assigned
Feb 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2013

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

Authorized official

Name
Dr. Calvin Kwan, N.D.
Title
Naturopathic Doctor
Phone
(425) 686-9369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X NT60318448 WA Primary

Addresses

Primary practice location

8012 15TH Ave NW
Seattle, WA 98117-3601

Mailing address

PO Box 78193
Seattle, WA 98178-0193
Phone (425) 686-9369

National Provider Directory

National Provider Directory
Tax ID family
Kwan Integrative Clinic LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8012 15th Ave NW
Seattle, WA 98117
Phone (206) 708-1212

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360800000000",
    "number": "1184964926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 78193",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981780193",
            "telephone_number": "425-686-9369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8012 15TH AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981173601",
            "telephone_number": "425-686-9369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KWAN INTEGRATIVE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-14",
        "last_updated": "2013-02-14",
        "status": "A",
        "authorized_official_last_name": "KWAN",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_title_or_position": "NATUROPATHIC DOCTOR",
        "authorized_official_telephone_number": "425-686-9369",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "N.D."
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60318448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; 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.