Active NPI
Gideon Newkirk
- Massage Therapist
- Centralia, WA
National Provider Identifier
1548670409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 60414378
- Practice address
- 802 W Main St
Centralia, WA 98531-2849 - Phone
- (360) 736-6263
- NPI assigned
- May 1, 2014
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA 60414378 | WA | Primary |
Addresses
Primary practice location
802 W Main St
Centralia, WA 98531-2849
Mailing address
2015 Delano Rd
Centralia, WA 98531-2044
Phone (360) 807-1026
Other names 1
- Gideon Paul Newkirk
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA 60414378 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Schultz Chiro Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398902400000",
"number": "1548670409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2015 DELANO RD",
"city": "CENTRALIA",
"state": "WA",
"postal_code": "985312044",
"telephone_number": "360-807-1026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 W MAIN ST",
"city": "CENTRALIA",
"state": "WA",
"postal_code": "985312849",
"telephone_number": "360-736-6263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWKIRK",
"first_name": "GIDEON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-01",
"last_updated": "2014-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA 60414378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GIDEON",
"last_name": "NEWKIRK",
"middle_name": "PAUL",
"credential": "LMP",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Centralia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.