Individual provider Active NPI

Mark Lee Barrett, D.C.

  • Chiropractor
  • Bothell, WA
National Provider Identifier
1386669430
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002772 Issued in WA
Practice address
125 164TH St SE
Bothell, WA 98012-5947
Phone
(425) 745-2311
Fax
(425) 745-2988
NPI assigned
Jul 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00002772 WA Primary

Addresses

Primary practice location

125 164TH St SE
Bothell, WA 98012-5947

Mailing address

125 164TH St SE
Bothell, WA 98012-5947
Phone (425) 745-2311

Other identifiers 2

IdentifierTypeStateIssuer
BARMA3122660382OtherWAMSC GROUP
0105379OtherWAL&I PROVIDER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061024000030 WA Practitioner - Chiropractic 2163429838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mark Lee Barrett,DC,LLCGroup PAC ID 1153561758, 2 clinicians

Practice addresses (Care Compare)

125 164TH St SE
Bothell, WA 98012-5947
Phone (425) 745-2311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH00002772WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Lee Barrett, DC, LLC CurrentSince Feb 9, 2013 Accepting new patients

Locations

125 164th St SE
Bothell, WA 98012
Phone (425) 745-2311

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386669430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 164TH ST SE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980125947",
            "telephone_number": "425-745-2311",
            "fax_number": "425-745-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 164TH ST SE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980125947",
            "telephone_number": "425-745-2311",
            "fax_number": "425-745-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "MARK",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MSC GROUP",
            "identifier": "BARMA3122660382",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I PROVIDER",
            "identifier": "0105379",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.