Active NPI
Paul Gjalt De Jong, N.D., LAC
- Naturopath
- Bellingham, WA
National Provider Identifier
1275782708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- NT60020655
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| AC60268883 | WA | MD | Acupuncturist |
| NT60020655 | WA | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New 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.