Organization Active NPI

Allergy & Arthritis Specialist

  • Specialist
  • Everett, WA
National Provider Identifier
1679767867
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD00017390 Issued in WA
Legal business name
ALLERGY & ARTHRITIS SPECIALIST
Practice address
3128 Norton Ave
Everett, WA 98201-4216
Phone
(425) 258-3651
NPI assigned
Aug 30, 2007
Last updated
Aug 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Authorized official

Name
Dr. Reynold Michael Karr Jr., MDNPI 1437259835
Title
Owner
Phone
(425) 258-3651

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X MD00017390 WA Primary

Addresses

Primary practice location

3128 Norton Ave
Everett, WA 98201-4216

Mailing address

3128 Norton Ave
Everett, WA 98201-4216
Phone (425) 258-3651

Other identifiers 1

IdentifierTypeStateIssuer
1500602MedicaidWA

National Provider Directory

National Provider Directory

Locations

3128 Norton Ave
Everett, WA 98201
Phone (425) 258-3651

Practitioners & affiliated clinicians

Practitioners 3

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": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1679767867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3128 NORTON AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014216",
            "telephone_number": "425-258-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3128 NORTON AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014216",
            "telephone_number": "425-258-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY & ARTHRITIS SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "KARR",
        "authorized_official_first_name": "REYNOLD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-258-3651",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00017390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1500602",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.