Lance Bunning, LMT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

MA00005302 Issued in WA

Practice address

17422 108TH Ave SE
Renton, WA 98055-5400

Phone

(425) 255-0427

Fax

(425) 255-1066

NPI assigned

Jan 24, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Clark Chiropractic Clinic

  • Chiropractor
  • Renton, WA
  • NPI 1447798830
  NPD (past)
• Clark Chiropractic Inc

  • Chiropractor
  • Renton, WA
  • NPI 1700904778
  NPD (past)
• Clark Chiropractic Inc

  • Massage Therapist
  • Renton, WA
  • NPI 1962078279
  NPD (past)

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1639616931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17422 108TH AVE SE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555400",
            "telephone_number": "425-255-0427",
            "fax_number": "425-255-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17422 108TH AVE SE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555400",
            "telephone_number": "425-255-0427",
            "fax_number": "425-255-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNNING",
        "first_name": "LANCE",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-24",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WA",
            "license": "MA00005302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tuyethong Bui
• Yvonne T Bui, PHARMD
• Darlene L Bumgarner, PTA
• Dominic Bungcayao, M.A., CCC-SLP
• Allison L Bunker, PT
• Olga Buntylo
• Christopher Burgess
• Michael Francis Burke, MD
• David Laverne Burkebile, MD
• Adam Burkey, MD

• Physical Medicine & Rehabilitation Physician in Renton, WA
• Providers in Renton, WA by specialty
• Physical Medicine & Rehabilitation Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.