NPIMap

Organization Active NPI

Spider Dr Productions, LLC

Doing business as The Chiropractic Office

  • Chiropractor
  • Bellingham, WA
National Provider Identifier
1356000814
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SPIDER DR PRODUCTIONS, LLC
Doing business as
The Chiropractic Office
Practice address
1420 King St Ste D
Bellingham, WA 98229-6264
Phone
(360) 676-4488
Fax
(360) 647-5587
NPI assigned
Dec 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Authorized official

Name
Anna Erickson
Title
Clinic Director
Phone
(360) 676-4488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1420 King St Ste D
Bellingham, WA 98229-6264

Mailing address

1420 King St Ste D
Bellingham, WA 98229-6264
Phone (360) 676-4488

Other names 2

  • The Chiropractic Office Doing business as
  • Sean Marcella, DC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220120002131 WA Part B Supplier - Clinic/Group Practice 6507258712 Receives reassigned benefits from 2 practitioners
Practice locations: Bellingham, WA

National Provider Directory

National Provider Directory

Locations

1420 King St
Ste D
Bellingham, WA 98229
Phone (360) 671-4242

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1356000814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 KING ST STE D",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982296264",
            "telephone_number": "360-676-4488",
            "fax_number": "360-647-5587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 KING ST STE D",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982296264",
            "telephone_number": "360-676-4488",
            "fax_number": "360-647-5587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIDER DR PRODUCTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-13",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "360-676-4488"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Chiropractic Office",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Chiropractic Office",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sean Marcella, DC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 31, 2023; 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.

Verify at the official NPI Registry.