Marvin Duane Dreessen, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

788 Issued in WA

Practice address

2068 SE Sedgwick Road
Port Orchard, WA 98366-9502

Phone

(360) 876-2550

Fax

(360) 876-2556

NPI assigned

Dec 22, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619032414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2068 SE SEDGWICK ROAD",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983669502",
            "telephone_number": "360-876-2550",
            "fax_number": "360-876-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2068 SE SEDGWICK ROAD",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983669502",
            "telephone_number": "360-876-2550",
            "fax_number": "360-876-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREESSEN",
        "first_name": "MARVIN",
        "middle_name": "DUANE",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF L&I",
            "identifier": "12646",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2237501",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH",
            "identifier": "00913501",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lydia Sharvauna Dorman, CB 61656413
• Luis E Dowling, R.N.
• Mailyn Flores Dowling, RN
• Kylee Doyle
• Dr. Jennifer Sansen, P.S. (Kitsap Chiropractic Clinic)
• Drew Malidore, D.D.S., P.L.L.C.
• Joshua Caleb Drew, CST
• Mark Stephen Duhamel, E.A.M.P.
• Rian Michelle Duncan
• Allysha Dunmire, LMP

• Chiropractor in Port Orchard, WA
• Providers in Port Orchard, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.