Active NPI
Calvin Gene Mulanax, D.C.
- Sports Physician Chiropractor
- Shoreline, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- CH00034853
- Practice address
- 20130 Ballinger Way NE Ste 360
Shoreline, WA 98155-1117 - Phone
- (206) 426-3970
- NPI assigned
- Nov 30, 2006
- Last updated
- Nov 15, 2022
- 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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | CH00034853 | WA | Primary |
Addresses
Primary practice location
20130 Ballinger Way NE Ste 360
Shoreline, WA 98155-1117
Mailing address
20130 Ballinger Way NE
Shoreline, WA 98155-1117
Phone (206) 426-3970
Other practice location 1
2946 Eastlake Ave E
Seattle, WA 98102-3010
Phone (206) 324-8600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
20130 Ballinger Way NE
Shoreline, WA 98155-1117
Phone (206) 426-3970
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH00034853 | WA | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calvin Mulanax DC Corp | Sports Physician | Current | Accepting new patients |
| Alternative Health & Nutrition | Past | Accepting new patients | |
| Chiropractic Wellness Centers at Capitol Hill PS Inc | Past | Accepting new patients |
Locations
2722 Eastlake Ave E
Ste 360
Seattle, WA 98102
Phone (206) 324-8600
20130 Ballinger Way NE
Shoreline, WA 98155
Phone (206) 426-3970
20130 Ballinger Way NE
Ste 360
Shoreline, WA 98155
Phone (206) 426-3970
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Sports Physician Chiropractor
- Seattle, WA
- NPI 1548684988
-
- Sports Physician Chiropractor
- Seattle, WA
- NPI 1457489833
-
- Chiropractor
- Seattle, WA
- NPI 1609908748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668470400000",
"number": "1518035534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20130 BALLINGER WAY NE",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981551117",
"telephone_number": "206-426-3970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20130 BALLINGER WAY NE STE 360",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981551117",
"telephone_number": "206-426-3970"
}
],
"practiceLocations": [
{
"address_1": "2946 Eastlake Ave E",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981023010",
"country_code": "US",
"telephone_number": "206-324-8600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MULANAX",
"first_name": "CALVIN",
"middle_name": "GENE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2022-11-15",
"certification_date": "2022-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "WA",
"license": "CH00034853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shoreline, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.