Individual provider Active NPI

Darlene Castle, DC

  • Chiropractor
  • Lake Stevens, WA
National Provider Identifier
1790905347
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00001249 Issued in WA
Practice address
905 Hwy 9
Lake Stevens, WA 98258-9484
Phone
(425) 334-5066
Fax
(425) 335-4787
NPI assigned
Apr 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 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 CH00001249 WA Primary

Addresses

Primary practice location

905 Hwy 9
Lake Stevens, WA 98258-9484

Mailing address

905 Hwy 9
Lake Stevens, WA 98258-9484
Phone (425) 334-5066

Other identifiers 3

IdentifierTypeStateIssuer
88234OtherWAHEALTH PLUS PROVIDER NUMB
CA-1793OtherWAREGENCE PROVIDER NUMBER
0353640OtherWADEPT OF LABOR & INDUSTRIES

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH00001249WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Momentum Clinic Chiropractor CurrentSince Dec 13, 2022 Accepting new patients
Lake Stevens Chiropractic, PLLC Chiropractor CurrentSince Apr 1, 2016 Accepting new patients

Locations

905 State Route 9 NE
Lake Stevens, WA 98258
Phone (425) 334-5066

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1790905347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 HWY 9",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982589484",
            "telephone_number": "425-334-5066",
            "fax_number": "425-335-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 HWY 9",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982589484",
            "telephone_number": "425-334-5066",
            "fax_number": "425-335-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTLE",
        "first_name": "DARLENE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS PROVIDER NUMB",
            "identifier": "88234",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE PROVIDER NUMBER",
            "identifier": "CA-1793",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR & INDUSTRIES",
            "identifier": "0353640",
            "state": "WA"
        }
    ],
    "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 Nov 1, 2022; 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.