Individual provider Active NPI

Daniel Peter Walsh, DC

  • Chiropractor
  • Lake Stevens, WA
National Provider Identifier
1700960135
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH33919 Issued in WA
Practice address
9633 Market PL Unit 103
Lake Stevens, WA 98258-7944
Phone
(425) 335-0300
Fax
(425) 335-0302
NPI assigned
Oct 24, 2006
Last updated
Jul 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH33919 WA Primary

Addresses

Primary practice location

9633 Market PL Unit 103
Lake Stevens, WA 98258-7944

Mailing address

9633 Market PL Unit 103
Lake Stevens, WA 98258-7944
Phone (425) 335-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051018001259 WA Practitioner - Chiropractic 0345266482 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Lincoln Chiropractic College, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9633 Market PL
Unit 103
Lake Stevens, WA 98258-7944
Phone (425) 355-0300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH33919WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Market Place Chiropractic Wellness Center Chiropractor CurrentSince Jul 17, 2022 Accepting new patients
Leshaw Chiropractic PLLC CurrentSince Sep 1, 2019 Accepting new patients
Walsh Chiropractic PLLC CurrentSince Sep 9, 2022 Accepting new patients
Brad Marshall-Inman.DC.PS Chiropractor Past Accepting new patients
New Life Chiropractic Inc PS Chiropractor Past Accepting new patients
Cornerstone Chiropractic Inc PS Chiropractor PastSince Jan 1, 2008 Accepting new patients
First Chiropractic Corp Chiropractor PastSince Jul 13, 2019 Accepting new patients
BC DC PS Chiropractor PastSince Dec 1, 2007 Accepting new patients
Olympic Spine and Sports Therapy PC Chiropractor PastSince Dec 4, 2000 Accepting new patients
Olympic Pain Solutions PastSince Dec 6, 2020 Accepting new patients

Locations

9633 Market Pl
Unit 103
Lake Stevens, WA 98258
Phone (425) 335-0300

17651 1st Ave S
Ste 101
Normandy Park, WA 98148
Phone (206) 241-3836

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1700960135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9633 MARKET PL UNIT 103",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982587944",
            "telephone_number": "425-335-0300",
            "fax_number": "425-335-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9633 MARKET PL UNIT 103",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982587944",
            "telephone_number": "425-335-0300",
            "fax_number": "425-335-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "DANIEL",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH33919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Stevens, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.