Active NPI
David Douglas Shilling, MD
- Family Medicine Physician
- Burlington, WA
National Provider Identifier
1265455414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00015971
- Practice address
- 712 S Burlington Blvd
Burlington, WA 98233-2212 - Phone
- (360) 757-0027
- Fax
- (360) 757-3698
- NPI assigned
- Jul 26, 2006
- Last updated
- Dec 5, 2014
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00015971 | WA | Primary |
Addresses
Primary practice location
712 S Burlington Blvd
Burlington, WA 98233-2212
Mailing address
712 S Burlington Blvd
Burlington, WA 98233-2212
Phone (360) 757-0027
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
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417737600000",
"number": "1265455414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 S BURLINGTON BLVD",
"city": "BURLINGTON",
"state": "WA",
"postal_code": "982332212",
"telephone_number": "360-757-0027",
"fax_number": "360-757-3698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 S BURLINGTON BLVD",
"city": "BURLINGTON",
"state": "WA",
"postal_code": "982332212",
"telephone_number": "360-757-0027",
"fax_number": "360-757-3698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHILLING",
"first_name": "DAVID",
"middle_name": "DOUGLAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2014-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00015971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.