Active NPI
Mark Michael Eschbach, D.C.
- Chiropractor
- Raymond, WA
National Provider Identifier
1649327800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Practice address
- 326 Commercial St
Raymond, WA 98577-2416 - Phone
- (360) 942-2414
- NPI assigned
- Jan 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | WA | Primary |
Addresses
Primary practice location
326 Commercial St
Raymond, WA 98577-2416
Mailing address
PO Box 89
Raymond, WA 98577-0089
Phone (360) 942-2414
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18219 | Other | WA | L&I NUMBER |
| ES5713 | Other | WA | REGENCE NUMBER |
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 |
|---|---|---|---|
| 601907565 | WA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1649327800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 89",
"city": "RAYMOND",
"state": "WA",
"postal_code": "985770089",
"telephone_number": "360-942-2414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 COMMERCIAL ST",
"city": "RAYMOND",
"state": "WA",
"postal_code": "985772416",
"telephone_number": "360-942-2414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESCHBACH",
"first_name": "MARK",
"middle_name": "MICHAEL",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-03",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I NUMBER",
"identifier": "18219",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE NUMBER",
"identifier": "ES5713",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raymond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.