Organization Active NPI

Dream Clinic

  • Massage Therapist
  • Seattle, WA
National Provider Identifier
1578955290
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60103537 Issued in WA
Legal business name
DREAM CLINIC
Practice address
916 NE 65TH St
Seattle, WA 98115-5542
Phone
(206) 267-0863
NPI assigned
Mar 4, 2015
Last updated
Mar 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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

Authorized official

Name
Mr. Jimmy Krieger
Title
Clinic Manager
Phone
(206) 267-0863

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA60103537 WA Primary

Addresses

Primary practice location

916 NE 65TH St
Seattle, WA 98115-5542

Mailing address

916 NE 65TH St
Seattle, WA 98115-5542
Phone (206) 267-0863

National Provider Directory

National Provider Directory
Tax ID family
Dream Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

916 NE 65th St
Seattle, WA 98115
Phone (206) 267-0863

NPI Registry JSON

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1578955290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 NE 65TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981155542",
            "telephone_number": "206-267-0863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 NE 65TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981155542",
            "telephone_number": "206-267-0863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAM CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-04",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "KRIEGER",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "206-267-0863",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60103537",
            "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 Mar 4, 2015; 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.