Active NPI
Christopher McMillan, L.AC., MSOM, ND
- Acupuncturist
- Aberdeen, WA
National Provider Identifier
1790857266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC00002542
- Practice address
- 313 S I St
Aberdeen, WA 98520-6615 - Phone
- (360) 589-2706
- NPI assigned
- Nov 13, 2006
- Last updated
- Jul 8, 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC00002542 | WA | Primary |
Addresses
Primary practice location
313 S I St
Aberdeen, WA 98520-6615
Mailing address
PO Box 739
Aberdeen, WA 98520-0156
Phone (360) 589-2706
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4458MC | Other | WA | REGENCE BLUESHIELD NUMBER |
| 6744MC | Other | WA | REGENCE BLUESHIELD NUMBER |
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 |
|---|---|---|---|
| AC00002542 | WA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790857266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 739",
"city": "ABERDEEN",
"state": "WA",
"postal_code": "985200156",
"telephone_number": "360-589-2706",
"fax_number": "360-533-4279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 S I ST",
"city": "ABERDEEN",
"state": "WA",
"postal_code": "985206615",
"telephone_number": "360-589-2706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMILLAN",
"first_name": "CHRISTOPHER",
"credential": "L.AC., MSOM, ND",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "AC00002542",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUESHIELD NUMBER",
"identifier": "4458MC",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUESHIELD NUMBER",
"identifier": "6744MC",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aberdeen, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.