Individual provider Active NPI

Paul Gjalt De Jong, N.D., LAC

  • Naturopath
  • Bellingham, WA
National Provider Identifier
1275782708
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT60020655 Issued in WA
Practice address
414 Girard St
Bellingham, WA 98225-4004
Phone
(360) 746-7167
Fax
(360) 733-1165
NPI assigned
Sep 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X NT60020655 WA Primary
Acupuncturist 171100000X AC60268883 WA

Addresses

Primary practice location

414 Girard St
Bellingham, WA 98225-4004

Mailing address

414 Girard St
Bellingham, WA 98225-4004
Phone (360) 746-7167

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

State licenses

LicenseStateTypeSpecialty
AC60268883WAMDAcupuncturist
NT60020655WAMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Paul de Jong PLLC Acupuncturist Current Accepting new patients

Locations

414 Girard St
Bellingham, WA 98225
Phone (360) 733-5155

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1275782708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 GIRARD ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254004",
            "telephone_number": "360-746-7167",
            "fax_number": "360-733-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 GIRARD ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254004",
            "telephone_number": "360-746-7167",
            "fax_number": "360-733-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JONG",
        "first_name": "PAUL",
        "middle_name": "GJALT",
        "name_prefix": "Dr.",
        "credential": "N.D., LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-09",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60020655",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60268883",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; 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.