Active NPI
Birkeland & Associates, P.S.
Doing business as Martha Lake Chiropactic
- Chiropractor
- Bothell, WA
National Provider Identifier
1649440215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00002297
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Mill Creek, WA
- NPI 1477618106
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.