Individual provider Active NPI

Artjom Litvin, LMP

  • Specialist
  • Auburn, WA
National Provider Identifier
1629319496
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA60228634 Issued in WA
Practice address
1101 Supermall Way Ste 1269
Auburn, WA 98001-6535
Phone
(360) 692-7321
Fax
(360) 692-1718
NPI assigned
Mar 4, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA60228634 WA Primary

Addresses

Primary practice location

1101 Supermall Way Ste 1269
Auburn, WA 98001-6535

Mailing address

9889 Central Valley Rd NW
Bremerton, WA 98311-9131

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA60228634WAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Quest Massage Management, Inc Past Accepting new patients
Kitsap Practice Management, Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1629319496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9889 CENTRAL VALLEY RD NW",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983119131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 SUPERMALL WAY STE 1269",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980016535",
            "telephone_number": "360-692-7321",
            "fax_number": "360-692-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITVIN",
        "first_name": "ARTJOM",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-04",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA60228634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.

Verify at the official NPI Registry.