Organization Active NPI

Mandahla Medical

  • Naprapath
  • Seattle, WA
National Provider Identifier
1902272180
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaprapathTaxonomy code 172P00000X
Legal business name
MANDAHLA MEDICAL
Practice address
1200 Westlake Ave N
Ste 604
Seattle, WA 98109-3543
Phone
(206) 946-9944
NPI assigned
Aug 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Authorized official

Name
Dr. Lester E Griffith, N.D.
Title
Cmo
Phone
(702) 286-6354

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X WA
NaprapathGroup: 193200000X MULTI-SPECIALTY GROUP 172P00000X WA Primary

Addresses

Primary practice location

1200 Westlake Ave N
Ste 604
Seattle, WA 98109-3543

Mailing address

1200 Westlake Ave N
Ste 604
Seattle, WA 98109-3543
Phone (206) 946-9944

National Provider Directory

National Provider Directory

Locations

1200 Westlake Ave N
Ste 604
Seattle, WA 98109
Phone (206) 946-9944

NPI Registry JSON

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1902272180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 WESTLAKE AVE N",
            "address_2": "STE 604",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981093543",
            "telephone_number": "206-946-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WESTLAKE AVE N",
            "address_2": "STE 604",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981093543",
            "telephone_number": "206-946-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDAHLA MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "GRIFFITH",
        "authorized_official_first_name": "LESTER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "702-286-6354",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "N.D."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "172P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naprapath",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.