Individual provider Active NPI

James Michael Callen, D.C.

  • Chiropractor
  • Lynnwood, WA
National Provider Identifier
1659504405
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002951 Issued in WA
Practice address
19410 Hwy 99
Suite # a-103
Lynnwood, WA 98036-7801
Phone
(605) 728-8844
NPI assigned
Aug 27, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X CH00002951 WA
Chiropractor 111N00000X CH00002951 WA Primary

Addresses

Primary practice location

19410 Hwy 99
Suite # a-103
Lynnwood, WA 98036-7801

Mailing address

19410 Hwy 99, Suite a-103
Lynnwood, WA 98036-7801
Phone (605) 728-8844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121008000469 WA Practitioner - Chiropractic 8123277126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3715 56TH NWST
Gig Harbor, WA 98335-8240

3715 56TH St
Gig Harbor, WA 98335-8240

3715 56TH St NW
Gig Harbor, WA 98335-8240
Phone (253) 851-5138

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH00002951WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Chiropractic Wellness Center PS Chiropractor CurrentSince Oct 31, 2023 Accepting new patients

Locations

3715 56th St
Gig Harbor, WA 98335
Phone (253) 851-5138

Organizations & group practices 1

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": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1659504405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19410 HWY 99, SUITE A-103",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980367801",
            "telephone_number": "605-728-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19410 HWY 99",
            "address_2": "SUITE # A-103",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980367801",
            "telephone_number": "605-728-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLEN",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-27",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "WA",
            "license": "CH00002951",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.