Individual provider Active NPI

Mark Belanger, DC

  • Sports Physician Chiropractor
  • Seattle, WA
National Provider Identifier
1285350751
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
CH61367019 Issued in WA
Practice address
411 Fairview Ave N
Seattle, WA 98109-5316
Phone
(206) 324-5433
NPI assigned
Oct 17, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH61367019 WA
Sports Physician Chiropractor 111NS0005X CH61367019 WA Primary

Addresses

Primary practice location

411 Fairview Ave N
Seattle, WA 98109-5316

Mailing address

411 Fairview Ave N
Seattle, WA 98109-5316
Phone (206) 324-5433

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

State licenses

LicenseStateTypeSpecialty
CH61367019WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Tacoma Chiropractic Center LLC Chiropractor CurrentSince Oct 1, 2022 Accepting new patients
Orca Wellness Sports Physician PastSince May 25, 2025 Accepting new patients

Locations

2705 NE 65th St
Seattle, WA 98115
Phone (206) 414-9992

Organizations & group practices 2

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": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1285350751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 FAIRVIEW AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981095316",
            "telephone_number": "206-324-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 FAIRVIEW AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981095316",
            "telephone_number": "206-324-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELANGER",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-17",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61367019",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "WA",
            "license": "CH61367019",
            "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 May 19, 2025; 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.