Individual provider Active NPI

Peter Salama, D.C.

  • Chiropractor
  • Mukilteo, WA
National Provider Identifier
1487909602
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
60647247 Issued in WA
Practice address
11700 Mukilteo Speedway Ste 203
Mukilteo, WA 98275-5436
Phone
(425) 405-3923
Fax
(425) 405-3928
NPI assigned
Jul 14, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 32365 CA
Chiropractor 111N00000X 60647247 WA Primary

Addresses

Primary practice location

11700 Mukilteo Speedway Ste 203
Mukilteo, WA 98275-5436

Mailing address

11700 Mukilteo Speedway Ste 203
Mukilteo, WA 98275-5436
Phone (425) 405-3923

Other practice location 1

1042 N Fairfax Ave
West Hollywood, CA 90046-6103
Phone (323) 656-4194

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
60647247WAMDChiropractor
32365CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1342224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1487909602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11700 MUKILTEO SPEEDWAY STE 203",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982755436",
            "telephone_number": "425-405-3923",
            "fax_number": "425-405-3928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11700 MUKILTEO SPEEDWAY STE 203",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982755436",
            "telephone_number": "425-405-3923",
            "fax_number": "425-405-3928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1042 N Fairfax Ave",
            "address_purpose": "LOCATION",
            "city": "West Hollywood",
            "state": "CA",
            "postal_code": "900466103",
            "country_code": "US",
            "telephone_number": "323-656-4194",
            "fax_number": "323-656-4151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALAMA",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-14",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32365",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "60647247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mukilteo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.