NPIMap

Organization Active NPI

Cedar Male Medical, PLLC

  • Naturopath
  • Bellingham, WA
National Provider Identifier
1386042893
Registry record updated Feb 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT60320962 Issued in WA
Legal business name
CEDAR MALE MEDICAL, PLLC
Practice address
1100 Larrabee Ave
Suite 100
Bellingham, WA 98225-7341
Phone
(360) 255-5355
Fax
(360) 255-0119
NPI assigned
Dec 15, 2014
Last updated
Feb 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2015

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

Authorized official

Name
Dr. Brenden Witte, NDNPI 1992040174
Title
President
Phone
(360) 255-5355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X NT60320962 WA Primary

Addresses

Primary practice location

1100 Larrabee Ave
Suite 100
Bellingham, WA 98225-7341

Mailing address

1100 Larrabee Ave
Suite 100
Bellingham, WA 98225-7341
Phone (360) 255-5355

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1418601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423440000000",
    "number": "1386042893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 LARRABEE AVE",
            "address_2": "SUITE 100",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257341",
            "telephone_number": "360-255-5355",
            "fax_number": "360-255-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LARRABEE AVE",
            "address_2": "SUITE 100",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257341",
            "telephone_number": "360-255-5355",
            "fax_number": "360-255-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR MALE MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-15",
        "last_updated": "2015-02-09",
        "status": "A",
        "authorized_official_last_name": "WITTE",
        "authorized_official_first_name": "BRENDEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-255-5355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60320962",
            "primary": true
        }
    ],
    "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 Feb 9, 2015; 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.