NPIMap

Organization Active NPI

Daryll G. Marshall-Inman DC Inc.

  • Chiropractor
  • Normandy Park, WA
National Provider Identifier
1205934684
Registry record updated Dec 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00003368 Issued in WA
Legal business name
DARYLL G. MARSHALL-INMAN DC INC.
Practice address
17651 1St Ave S
#101
Normandy Park, WA 98148-2715
Phone
(206) 241-3836
Fax
(206) 241-3967
NPI assigned
Sep 20, 2006
Last updated
Dec 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2014

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

Authorized official

Name
Mrs. Daryl G Marshall-Inman, DC
Title
Owner
Phone
(425) 361-1839

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH00003368 WA Primary
Patient Transport Registered Respiratory TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2279P4000X MA00019960 WA

Addresses

Primary practice location

17651 1St Ave S
#101
Normandy Park, WA 98148-2715

Mailing address

17651 1St Ave S
#101
Normandy Park, WA 98148-2715
Phone (206) 241-3836

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050928001591 WA Part B Supplier - Clinic/Group Practice 4284669144 Receives reassigned benefits from 6 practitioners
Practice locations: Normandy Park, WA

National Provider Directory

National Provider Directory
Tax ID family
Daryll G Marshall-Inman DC Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419292800000",
    "number": "1205934684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17651 1ST AVE S",
            "address_2": "#101",
            "city": "NORMANDY PARK",
            "state": "WA",
            "postal_code": "981482715",
            "telephone_number": "206-241-3836",
            "fax_number": "206-241-3967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17651 1ST AVE S",
            "address_2": "#101",
            "city": "NORMANDY PARK",
            "state": "WA",
            "postal_code": "981482715",
            "telephone_number": "206-241-3836",
            "fax_number": "206-241-3967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARYLL G. MARSHALL-INMAN DC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-12-23",
        "status": "A",
        "authorized_official_last_name": "MARSHALL-INMAN",
        "authorized_official_first_name": "DARYL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-361-1839",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003368",
            "primary": true
        },
        {
            "code": "2279P4000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Registered, Patient Transport",
            "state": "WA",
            "license": "MA00019960",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Normandy Park, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; 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.