Calvin J Hedman, D.C.
Individual provider Active NPI Chiropractor · Sumner, WA
NPI 1609646165 · NPPES record last updated Sep 11, 2024
Key facts
- NPI
- 1609646165
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 0000 (WA)
- Practice address
- 603 Hunt Ave Ste a
Sumner, WA 98390-1117 - Phone
- (253) 863-0855
- Fax
- (253) 826-0511
- NPI assigned
- Jan 5, 2024
- Reactivated
- Sep 11, 2024
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Movement Chiropractic and Massage LLC
Practice addresses (Care Compare)
603 Hunt Ave
Suite a
Sumner, WA 98390-1117
Phone (253) 863-0855
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241120000712 | WA | Practitioner - Chiropractic | 5395270946 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Movement Chiropractic and Massage, LLC | Chiropractor | Current |
Accepting new patients |
Locations
603 Hunt Ave
Ste A
Sumner, WA 98390
Phone (253) 863-0855
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0000 | WA | Yes |
Addresses
Primary practice location
603 Hunt Ave Ste a
Sumner, WA 98390-1117
Mailing address
603 Hunt Ave Ste a
Sumner, WA 98390-1117
Phone (253) 863-0855
Other providers in Sumner, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.