Active NPI
Kevin Shaun Geagan, D.C.
- Chiropractor
- Burlington, WA
National Provider Identifier
1821145657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3117
- Practice address
- 249 S Burlington Blvd
Burlington, WA 98233-1708 - Phone
- (360) 755-1414
- Fax
- (360) 755-0172
- NPI assigned
- Jan 4, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3117 | WA | Primary |
| Chiropractor | 111N00000X | 18805 | CA |
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
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
249 S Burlington Blvd
Burlington, WA 98233-1708
Phone (360) 755-1414
Hospital & facility affiliations
- Skagit Valley Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3117 | WA | MD | Chiropractor |
| 18805 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burlington Chiropractic Clinic, Inc. PS | Chiropractor | Current | Accepting new patients |
Locations
249 S Burlington Blvd
Burlington, WA 98233
Phone (360) 755-1414
Organizations & group practices 1
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.
-
- Chiropractor
- Burlington, WA
- NPI 1801039185
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mount Vernon, WA
- NPI 1053357244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821145657",
"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": {
"last_name": "GEAGAN",
"first_name": "KEVIN",
"middle_name": "SHAUN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "3117",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "18805",
"primary": false
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.