Active NPI
Del Whetstone, D.O.
- Family Medicine Physician
- Everett, WA
National Provider Identifier
1689790792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OP00001171
- Practice address
- 9629 Evergreen Way
Suite 102
Everett, WA 98204-7198 - Phone
- (425) 353-6755
- Fax
- (425) 953-9848
- NPI assigned
- Mar 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OP00001171 | WA | Primary |
Addresses
Primary practice location
9629 Evergreen Way
Suite 102
Everett, WA 98204-7198
Mailing address
9629 Evergreen Way
Suite 102
Everett, WA 98204-7198
Phone (425) 353-6755
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5065 | Other | WA | LABOR & INDUSTRIES |
| OP00001171 | Other | WA | MEDICAL LICENSE |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors Osteopathic Care | Past | Accepting new patients |
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.
-
- Pain Clinic/Center
- Everett, WA
- NPI 1053531780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1689790792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9629 EVERGREEN WAY",
"address_2": "SUITE 102",
"city": "EVERETT",
"state": "WA",
"postal_code": "982047198",
"telephone_number": "425-353-6755",
"fax_number": "425-953-9848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9629 EVERGREEN WAY",
"address_2": "SUITE 102",
"city": "EVERETT",
"state": "WA",
"postal_code": "982047198",
"telephone_number": "425-353-6755",
"fax_number": "425-953-9848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHETSTONE",
"first_name": "DEL",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "OP00001171",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "5065",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "OP00001171",
"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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.