Active NPI
Mukilteo Chiropractic Clinic, PLLC
- Chiropractor
- Mukilteo, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3134
- Legal business name
- MUKILTEO CHIROPRACTIC CLINIC, PLLC
- Practice address
- 8004 Mukilteo Speedway Ste 1
Mukilteo, WA 98275-2653 - Phone
- (425) 353-1011
- Fax
- (425) 353-1033
- NPI assigned
- Jun 3, 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
- Mr. Robert Steven Kreutz, DC
- Title
- Chiropractic
- Phone
- (425) 353-1011
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 | 3134 | WA | Primary |
Addresses
Primary practice location
8004 Mukilteo Speedway Ste 1
Mukilteo, WA 98275-2653
Mailing address
8004 Mukilteo Speedway Ste 1
Mukilteo, WA 98275-2653
Phone (425) 353-1011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
13624 Highway 99
Ste B4
Lynnwood, WA 98087
Phone (425) 353-1011
8004 Mukilteo Speedway
Mukilteo, WA 98275
Phone (425) 353-1011
8004 Mukilteo Speedway
Ste 1
Mukilteo, WA 98275
Phone (425) 353-1011
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Lynnwood, WA
- NPI 1053319459
-
- Chiropractor
- Mukilteo, WA
- NPI 1538342308
-
- Massage Therapist
- Mukilteo, WA
- NPI 1013148287
-
- Massage Therapist
- Mukilteo, WA
- NPI 1053631283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1243987200000",
"number": "1861628901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8004 MUKILTEO SPEEDWAY STE 1",
"city": "MUKILTEO",
"state": "WA",
"postal_code": "982752653",
"telephone_number": "425-353-1011",
"fax_number": "425-353-1033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8004 MUKILTEO SPEEDWAY STE 1",
"city": "MUKILTEO",
"state": "WA",
"postal_code": "982752653",
"telephone_number": "425-353-1011",
"fax_number": "425-353-1033"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MUKILTEO CHIROPRACTIC CLINIC, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-03",
"last_updated": "2009-06-03",
"status": "A",
"authorized_official_last_name": "KREUTZ",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "STEVEN",
"authorized_official_title_or_position": "CHIROPRACTIC",
"authorized_official_telephone_number": "425-353-1011",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WA",
"license": "3134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mukilteo, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.