NPIMap

Organization Active NPI

White Dove Wellness LLC

  • Massage Therapist
  • Kenmore, WA
National Provider Identifier
1801579313
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
WHITE DOVE WELLNESS LLC
Practice address
6016 NE Bothell Way Ste B
Kenmore, WA 98028-9403
Phone
(425) 614-9426
NPI assigned
Aug 10, 2023
Last updated
Aug 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Authorized official

Name
Mengchun ZengNPI 1780367490
Title
Owner
Phone
(425) 614-9426

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)CodeLicenseStatePrimary
Massage Therapist 225700000X Primary

Addresses

Primary practice location

6016 NE Bothell Way Ste B
Kenmore, WA 98028-9403

Mailing address

6016 NE Bothell Way Ste B
Kenmore, WA 98028-9403

National Provider Directory

National Provider Directory

Locations

6016 NE Bothell Way
Ste B
Kenmore, WA 98028
Phone (425) 486-2844

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1801579313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6016 NE BOTHELL WAY STE B",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980289403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6016 NE BOTHELL WAY STE B",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980289403",
            "telephone_number": "425-614-9426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE DOVE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "ZENG",
        "authorized_official_first_name": "MENGCHUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-614-9426"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenmore, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.