Cerescan Corp

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

WN-M0304-1 Issued in WA

Legal business name

CERESCAN CORP

Practice address

1015 8TH Ave N
Seattle, WA 98109-3504

Phone

(720) 242-9081

Fax

(866) 433-3965

NPI assigned

Feb 1, 2010

Organization subpart

Yes

Parent organization

CERESCAN CORPAs reported in NPPES

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

Authorized official

Name

John Kelley

Title

Ceo

Phone

(720) 242-9081

Specialties & licenses 1

Addresses

Part of

Cerehealth Corp

Locations

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264982400000",
    "number": "1659603744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 S LOGAN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802094130",
            "telephone_number": "720-242-9081",
            "fax_number": "866-433-3965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 8TH AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981093504",
            "telephone_number": "720-242-9081",
            "fax_number": "866-433-3965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERESCAN CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CERESCAN CORP",
        "enumeration_date": "2010-02-01",
        "last_updated": "2010-02-01",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "720-242-9081"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "WA",
            "license": "WN-M0304-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Wellness Chiropractic PLLC
• Jan Cerbito
• Pedro Cerda
• Jennifer Cerdena, PHARMD
• Moises Cerecedo Rios
• Zakary Cerminara
• Michael Bruce Cernuska
• Katherine Ceronsky, ARNP
• Sophia Cerreta, BA
• Margaret Mizell Certain

• Radiology Clinic/Center in Seattle, WA
• Providers in Seattle, WA by specialty
• Radiology Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; 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.