Active NPI
Joseph Leonard Dumovic, DC,ND
- Naturopath
- Tukwila, WA
National Provider Identifier
1346345261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- NT00000367
- Practice address
- 3480 S 152ND St
Tukwila, WA 98188-2142 - Phone
- (206) 244-5216
- Fax
- (206) 244-0897
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00000934 | WA | |
| Naturopath | 175F00000X | NT00000367 | WA | Primary |
Addresses
Primary practice location
3480 S 152ND St
Tukwila, WA 98188-2142
Mailing address
3480 S 152ND St
Tukwila, WA 98188-2142
Phone (206) 244-5216
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DU0240 | Other | WA | REGENCE-NATUROPATHIC |
| 2237907 | Medicaid | WA | |
| 0013835 | Other | WA | L&I-NATUROPATHIC |
| DU0670 | Other | WA | REGENCE-CHIROPRACTIC |
| 0047534 | Other | WA | L&I-CHIROPRACTIC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080430000649 | WA | Practitioner - Chiropractic | 3476632571 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH00000934 | WA | MD | Chiropractor |
| NT00000367 | WA | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joseph L. Dumovic, DC, ND, Inc, PS | Past | Accepting new patients |
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.
-
- Non-Pharmacy Dispensing Site
- Tukwila, WA
- NPI 1437409810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352160000000",
"number": "1346345261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3480 S 152ND ST",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981882142",
"telephone_number": "206-244-5216",
"fax_number": "206-244-0897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3480 S 152ND ST",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981882142",
"telephone_number": "206-244-5216",
"fax_number": "206-244-0897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUMOVIC",
"first_name": "JOSEPH",
"middle_name": "LEONARD",
"name_prefix": "Dr.",
"credential": "DC,ND",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2012-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00000934",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "WA",
"license": "NT00000367",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE-NATUROPATHIC",
"identifier": "DU0240",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2237907",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I-NATUROPATHIC",
"identifier": "0013835",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE-CHIROPRACTIC",
"identifier": "DU0670",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I-CHIROPRACTIC",
"identifier": "0047534",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tukwila, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.