Mobile Chiropractic & Massage, PLLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

2796 Issued in WA

Legal business name

MOBILE CHIROPRACTIC & MASSAGE, PLLC

Doing business as

ProHealth Chiropractic & Massage

Practice address

11111 NE 8TH St
Suite 20
Bellevue, WA 98004-4475

Phone

(423) 284-1441

Fax

(423) 265-3111

NPI assigned

Dec 26, 2014

Last updated

Dec 26, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Staten C Medsker Jr., D.C.NPI 1639222433

Title

President

Phone

(423) 284-1441

Specialties & licenses 1

Addresses

Other names 1

• ProHealth Chiropractic & Massage Doing business as

Locations

Practitioners 1

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.

• Staten C Medsker Jr., D.C.

  • Chiropractor
  • Bellevue, WA
  • NPI 1639222433
  NPD (past) Authorized official

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

{
    "created_epoch": "1419552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419552000000",
    "number": "1699163709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15600 NE 8TH ST",
            "address_2": "B1-468",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980083927",
            "telephone_number": "423-284-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 NE 8TH ST",
            "address_2": "SUITE 20",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044475",
            "telephone_number": "423-284-1441",
            "fax_number": "423-265-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE CHIROPRACTIC & MASSAGE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-26",
        "last_updated": "2014-12-26",
        "status": "A",
        "authorized_official_last_name": "MEDSKER",
        "authorized_official_first_name": "STATEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-284-1441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WA",
            "license": "2796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProHealth Chiropractic & Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Miyuki H Nagata DDS PLLC (Best Smile)
• Sharmin Mizan
• Yui Mizuno
• Clementina A. Mlay, LMP
• Swansea Mo, DPT
• Mobile Dent Inc PS
• David Mobley, D.C., M.S.
• Christopher Stephen Mock, D.O.
• Lorelei A Mock, PT
• Modern Mind & Wellness

• Health Service Clinic/Center in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Health Service Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2014; 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.