Individual provider Active NPI

Darrin Scott Mulcahey, D.C.

  • Chiropractor
  • Puyallup, WA
National Provider Identifier
1386798981
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002477 Issued in WA
Practice address
11108 Woodland Ave E Ste a
Puyallup, WA 98373-5893
Phone
(253) 845-5358
Fax
(253) 845-5753
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00002477 WA Primary

Addresses

Primary practice location

11108 Woodland Ave E Ste a
Puyallup, WA 98373-5893

Mailing address

11108 Woodland Ave E Ste a
Puyallup, WA 98373-5893
Phone (253) 845-5358

Other identifiers 3

IdentifierTypeStateIssuer
36172OtherWALABOR & INDUSTRIES ID
911744654OtherWATAX ID
MU4594OtherWAREGENCE INSURANCE ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090429000564 WA Practitioner - Chiropractic 6901954023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiropractic Northwest, Inc.Group PAC ID 5395894877, 2 clinicians

Practice addresses (Care Compare)

11108 Woodland Ave E
Suite a
Puyallup, WA 98373-5893
Phone (253) 845-5358

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
025202WAMDRehabilitation Chiropractor

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.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236124800000",
    "number": "1386798981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11108 WOODLAND AVE E STE A",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983735893",
            "telephone_number": "253-845-5358",
            "fax_number": "253-845-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11108 WOODLAND AVE E STE A",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983735893",
            "telephone_number": "253-845-5358",
            "fax_number": "253-845-5753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULCAHEY",
        "first_name": "DARRIN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2009-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES ID",
            "identifier": "36172",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "911744654",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE INSURANCE ID",
            "identifier": "MU4594",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; 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.