Kellyanna M Dalton, L. AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC00000791 Issued in WA

Practice address

112 Ohio St
Suite # 107
Bellingham, WA 98225-4543

Phone

(360) 733-2858

NPI assigned

May 4, 2007

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: kellyanna.dalton@swin.eclinicaldirectplus.com

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396957809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1455",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982271455",
            "telephone_number": "360-733-2858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 OHIO ST",
            "address_2": "SUITE # 107",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254543",
            "telephone_number": "360-733-2858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALTON",
        "first_name": "KELLYANNA",
        "middle_name": "M",
        "credential": "L. AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00000791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Dalgas
• Kristin M Dalla Santa
• Dallas Chiropractic Clinic PLLC
• Jerry F Dallas, D.C.
• Marshall Aaron Dallas, D.C.
• Mari Michelle Dalton, MA, MFT
• Maria Dalzot, RDN
• Dawn M Damon, SUDPT, AAC
• Derek Richard Damon, DDS
• Dan Enselman LLC

• Acupuncturist in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Acupuncturist in Washington

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.