Misty Renae Gargan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00034112 Issued in WA

Practice address

2109 196TH St SW Ste 1
Lynnwood, WA 98036-3800

Phone

(425) 775-9914

NPI assigned

Jan 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1396898607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13005 E GIBSON RD APT T336",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982045363",
            "telephone_number": "425-218-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 196TH ST SW STE 1",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980363800",
            "telephone_number": "425-775-9914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARGAN",
        "first_name": "MISTY",
        "middle_name": "RENAE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy L. Garberich, OT
• Isis Marie Garcia Diaz
• Angela Christine Garcia, LMT
• Elizabeth K. Gardner, OT
• Gloria Sophia Azucena Garfield
• Franco Alejandro Garibaldi Alva, PTA,LMT
• Shreyas Garimella
• Victoria Marie Garner, LMP
• Chris Wendy Garrido-Philp, MSW, LICSW, MHP
• Diane Garris, LMP

• Chiropractor in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.