Active NPI
Calvin Mulanax DC Corp
- Sports Physician Chiropractor
- Seattle, WA
National Provider Identifier
1548684988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- CH00034853
- Legal business name
- CALVIN MULANAX DC CORP
- Practice address
- 2722 Eastlake Ave E Ste 360
Seattle, WA 98102-3143 - Phone
- (206) 324-8600
- NPI assigned
- Feb 5, 2014
- Last updated
- Feb 5, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Calvin Mulanax, DC
- Title
- Owner
- Phone
- (206) 324-8600
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | CH00034853 | WA | Primary |
Addresses
Primary practice location
2722 Eastlake Ave E Ste 360
Seattle, WA 98102-3143
Mailing address
2722 Eastlake Ave E Ste 360
Seattle, WA 98102-3143
Phone (206) 324-8600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
20130 Ballinger Way NE
Shoreline, WA 98155
Phone (206) 426-3970
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Sports Physician Chiropractor
- Shoreline, WA
- NPI 1518035534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1391558400000",
"number": "1548684988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2722 EASTLAKE AVE E STE 360",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981023143",
"telephone_number": "206-324-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2722 EASTLAKE AVE E STE 360",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981023143",
"telephone_number": "206-324-8600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CALVIN MULANAX DC CORP",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-05",
"last_updated": "2014-02-05",
"status": "A",
"authorized_official_last_name": "MULANAX",
"authorized_official_first_name": "CALVIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "206-324-8600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "WA",
"license": "CH00034853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.