Individual provider Active NPI

Craig Allen Eubank, CRAIG EUBANK

  • Massage Therapist
  • Bellingham, WA
National Provider Identifier
1841595501
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 60088311 Issued in WA
Practice address
1420 King St
Suite E
Bellingham, WA 98229-6264
Phone
(360) 650-1040
NPI assigned
Jan 11, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA 60088311 WA Primary

Addresses

Primary practice location

1420 King St
Suite E
Bellingham, WA 98229-6264

Mailing address

2810 Ellis St
Bellingham, WA 98225-2625
Phone (360) 296-8183

Other names 1

  • Mr. Craig Eubank Other name

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

LicenseStateTypeSpecialty
MA 60088311WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lockwood Chiropractic LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294704000000",
    "number": "1841595501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 ELLIS ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982252625",
            "telephone_number": "360-296-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 KING ST",
            "address_2": "SUITE E",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982296264",
            "telephone_number": "360-650-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUBANK",
        "first_name": "CRAIG",
        "middle_name": "ALLEN",
        "credential": "CRAIG EUBANK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-11",
        "last_updated": "2011-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 60088311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRAIG",
            "last_name": "EUBANK",
            "prefix": "MR.",
            "credential": "CRAIG EUBANK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.