Active NPI
Brandon Jayson Falk, D.C.
- Chiropractor
- Stanwood, WA
National Provider Identifier
1477690493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00034305
- Practice address
- 9123 271St St NW
Stanwood, WA 98292 - Phone
- (360) 939-2230
- Fax
- (360) 939-0965
- NPI assigned
- Jan 31, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00034305 | WA | Primary |
Addresses
Primary practice location
9123 271St St NW
Stanwood, WA 98292
Mailing address
P.O. Box 181
Stanwood, WA 98292
Phone (360) 939-2230
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11504117 | Other | WA | CAQH |
| 0192492 | Other | WA | LABOR AND INDUSTRIES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238630400000",
"number": "1477690493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 181",
"city": "STANWOOD",
"state": "WA",
"postal_code": "98292",
"telephone_number": "360-939-2230",
"fax_number": "360-939-0965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9123 271ST ST NW",
"city": "STANWOOD",
"state": "WA",
"postal_code": "98292",
"telephone_number": "360-939-2230",
"fax_number": "360-939-0965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALK",
"first_name": "BRANDON",
"middle_name": "JAYSON",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2009-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00034305",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11504117",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "0192492",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stanwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.