Active NPI
Bryan Daniel Angove, D.C.
- Chiropractor
- Lakewood, WA
National Provider Identifier
1659507085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH60084038
- Practice address
- 9701 S Tacoma Way Ste 106
Lakewood, WA 98499-4490 - Phone
- (253) 588-8340
- Fax
- (253) 588-8341
- NPI assigned
- May 29, 2009
- Sex
- Male
- Sole proprietor
- No
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 | CH60084038 | WA | Primary |
Addresses
Primary practice location
9701 S Tacoma Way Ste 106
Lakewood, WA 98499-4490
Mailing address
9701 S Tacoma Way Ste 106
Lakewood, WA 98499-4490
Phone (253) 588-8340
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH60084038 | WA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243555200000",
"number": "1659507085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9701 S TACOMA WAY STE 106",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984994490",
"telephone_number": "253-588-8340",
"fax_number": "253-588-8341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9701 S TACOMA WAY STE 106",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984994490",
"telephone_number": "253-588-8340",
"fax_number": "253-588-8341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGOVE",
"first_name": "BRYAN",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-29",
"last_updated": "2009-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH60084038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.