Douglas Sullivan, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00034393 Issued in WA

Legal business name

DOUGLAS SULLIVAN, PC

Practice address

304 Main Ave S
203
Renton, WA 98057-2758

Phone

(206) 683-2995

NPI assigned

Sep 9, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Sullivan, D.C.NPI 1104045137

Title

President

Phone

(206) 683-2995

Specialties & licenses 1

Addresses

Other names 1

• Sullivan Chiropractic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas E Sullivan, DC

  • Chiropractor
  • Renton, WA
  • NPI 1104045137
  NPD (past) Authorized official

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252454400000",
    "number": "1609109669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 MAIN AVE S",
            "address_2": "203",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572758",
            "telephone_number": "206-683-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 MAIN AVE S",
            "address_2": "203",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572758",
            "telephone_number": "206-683-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS SULLIVAN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-09",
        "last_updated": "2009-09-09",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-683-2995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sullivan Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rosenie Dorce, MSN, ARNP, PMHNP-BC
• Doris Wong OD PS
• Jay Dorsch, PHARMD
• Omar K Dorzi, MD
• Kelsey Dosh, RDN
• Olivia Douglas
• Robert M Douglas, M.D.
• Douglass Cert Pros & Orthotics, Inc
• Janine A Douglass, OT
• Nicolle Dourte, LMP

• Chiropractor in Renton, WA
• Providers in Renton, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; 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.