Active NPI
Burlington Chiropractic Clinic, Inc. PS
- Chiropractor
- Burlington, WA
National Provider Identifier
1801039185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3117
- Legal business name
- BURLINGTON CHIROPRACTIC CLINIC, INC. PS
- Practice address
- 249 S Burlington Blvd
Burlington, WA 98233-1708 - Phone
- (360) 755-1414
- Fax
- (360) 755-0172
- NPI assigned
- Apr 15, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kevin S. Geagan, D.C.
- Title
- President
- Phone
- (360) 755-1414
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3117 | WA | Primary |
Addresses
Primary practice location
249 S Burlington Blvd
Burlington, WA 98233-1708
Mailing address
249 S Burlington Blvd
Burlington, WA 98233-1708
Phone (360) 755-1414
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
249 S Burlington Blvd
Burlington, WA 98233
Phone (360) 755-1414
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Burlington, WA
- NPI 1821145657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242172800000",
"number": "1801039185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "249 S BURLINGTON BLVD",
"city": "BURLINGTON",
"state": "WA",
"postal_code": "982331708",
"telephone_number": "360-755-1414",
"fax_number": "360-755-0172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "249 S BURLINGTON BLVD",
"city": "BURLINGTON",
"state": "WA",
"postal_code": "982331708",
"telephone_number": "360-755-1414",
"fax_number": "360-755-0172"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BURLINGTON CHIROPRACTIC CLINIC, INC. PS",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-15",
"last_updated": "2009-05-13",
"status": "A",
"authorized_official_last_name": "GEAGAN",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "360-755-1414",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WA",
"license": "3117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.