Active NPI
Cory Blaine Hultman, D.C.
- Chiropractor
- Seattle, WA
National Provider Identifier
1609848043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 60186618
- Practice address
- 2611 NE 125TH St
247
Seattle, WA 98125-4373 - Phone
- (206) 367-5090
- Fax
- (206) 367-8634
- NPI assigned
- Feb 1, 2006
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 60186618 | WA | Primary |
Addresses
Primary practice location
2611 NE 125TH St
247
Seattle, WA 98125-4373
Mailing address
2611 NE 125TH St
247
Seattle, WA 98125-4373
Phone (206) 367-5090
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60186618 | WA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366070400000",
"number": "1609848043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2611 NE 125TH ST",
"address_2": "247",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981254373",
"telephone_number": "206-367-5090",
"fax_number": "206-367-8634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2611 NE 125TH ST",
"address_2": "247",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981254373",
"telephone_number": "206-367-5090",
"fax_number": "206-367-8634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULTMAN",
"first_name": "CORY",
"middle_name": "BLAINE",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-01",
"last_updated": "2013-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "60186618",
"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 Apr 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.