Active NPI
Clayton L Patterson, D.C.
- Chiropractor
- Lake Stevens, WA
National Provider Identifier
1740407733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00002119
- Practice address
- 12506 18TH St. N.E.
Ste.4
Lake Stevens, WA 98258 - Phone
- (425) 334-9664
- NPI assigned
- Apr 19, 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00002119 | WA | Primary |
Addresses
Primary practice location
12506 18TH St. N.E.
Ste.4
Lake Stevens, WA 98258
Mailing address
PO Box 729
Lake Stevens, WA 98258-0729
Phone (425) 334-9664
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH00002119 | WA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299110400000",
"number": "1740407733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 729",
"city": "LAKE STEVENS",
"state": "WA",
"postal_code": "982580729",
"telephone_number": "425-334-9664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12506 18TH ST. N.E.",
"address_2": "STE.4",
"city": "LAKE STEVENS",
"state": "WA",
"postal_code": "98258",
"telephone_number": "425-334-9664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "CLAYTON",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-19",
"last_updated": "2011-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00002119",
"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 Mar 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.