Randall G Dreessen, DC CCSP

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2221 Issued in WA

Practice address

19721 Scriber Lake Rd
# D
Lynnwood, WA 98036

Phone

(425) 775-3544

Fax

(425) 670-6502

NPI assigned

Jul 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

ChiropracticAlso: Sports Medicine

Education

Western States College of Chiropractic, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Randall Inc.

  • Preferred Provider Organization
  • Lynnwood, WA
  • NPI 1992063945
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902838782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19721 SCRIBER LAKE RD",
            "address_2": "# D",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "98036",
            "telephone_number": "425-775-3544",
            "fax_number": "425-670-6502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19721 SCRIBER LAKE RD",
            "address_2": "# D",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "98036",
            "telephone_number": "425-775-3544",
            "fax_number": "425-670-6502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREESSEN",
        "first_name": "RANDALL",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DC CCSP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "2221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T03097",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr. Shur Dental (dentist)
• Dr. Tim Bachman DMD (Endodontics Lynnwood)
• Dr.Kathryn S.Thompson & Associates
• Chrystal Sapphire Dragonflame
• DRDC Corporation (NS Pain Clinic)
• Inna Dronova
• Sara Rene' Drury, LMP
• DRX Wa Urgent Care Providers, PLLC (Immediate Clinic)
• Susan Dumelin
• Ellie Madison Duran

• Chiropractor in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Chiropractor in Washington

• 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; Order and Referring.
• 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.

Verify at the official NPI Registry.