Healthsource of Kirkland

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH60446569 Issued in WA

Legal business name

HEALTHSOURCE OF KIRKLAND

Practice address

13021 NE 85TH St
Kirkland, WA 98033-8005

Phone

(425) 827-0422

NPI assigned

Apr 30, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Nathaniel Eli Otto, D.C.

Title

Associate Doctor of Chiropractic

Phone

(425) 827-0422

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• William J Weber, DC

  • Chiropractor
  • Kirkland, WA
  • NPI 1659495166
  NPD
• Michael Frank Schultz, DC

  • Chiropractor
  • Camas, WA
  • NPI 1285925172
  NPD (past)

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398816000000",
    "number": "1619387693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13021 NE 85TH ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980338005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13021 NE 85TH ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980338005",
            "telephone_number": "425-827-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSOURCE OF KIRKLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-30",
        "last_updated": "2014-04-30",
        "status": "A",
        "authorized_official_last_name": "OTTO",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "ELI",
        "authorized_official_title_or_position": "ASSOCIATE DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "425-827-0422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60446569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dustin Mark Hayward, M.D.
• Healing Heart Clinic
• Healing Life Acupuncture, PLLC
• Health and Wellness of Kirkland LLC
• Healthmate, PLLC
• Healthware House Africa LLC
• Pauline Catherine Heard, LMP
• Hearing Specialty Center LLC
• Holly Hearn
• Hearth Counseling PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; 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.