Organization Active NPI

Birkeland & Associates, P.S.

Doing business as Martha Lake Chiropactic

  • Chiropractor
  • Bothell, WA
National Provider Identifier
1649440215
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002297 Issued in WA
Legal business name
BIRKELAND & ASSOCIATES, P.S.
Doing business as
Martha Lake Chiropactic
Practice address
125 164TH St SE
Bothell, WA 98012
Phone
(425) 745-2311
Fax
(425) 745-2988
NPI assigned
Mar 10, 2008
Last updated
Apr 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Authorized official

Name
Dr. John Mark Birkeland, DC
Title
Chiropractor Owner
Phone
(425) 745-2311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X CH00002297 WA Primary

Addresses

Primary practice location

125 164TH St SE
Bothell, WA 98012

Mailing address

125 164TH St SE
Bothell, WA 98012
Phone (425) 745-2311

Other names 1

  • Martha Lake Chiropactic Doing business as

National Provider Directory

National Provider Directory

Locations

125 164th St SE
Bothell, WA 98012
Phone (425) 745-2311

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1649440215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 164TH ST SE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "98012",
            "telephone_number": "425-745-2311",
            "fax_number": "425-745-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 164TH ST SE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "98012",
            "telephone_number": "425-745-2311",
            "fax_number": "425-745-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRKELAND & ASSOCIATES, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "BIRKELAND",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "CHIROPRACTOR OWNER",
        "authorized_official_telephone_number": "425-745-2311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martha Lake Chiropactic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.