Organization Active NPI

MBHC LLC

  • Chiropractor
  • Everett, WA
National Provider Identifier
1902916919
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00001378 Issued in WA
Legal business name
MBHC LLC
Practice address
3105 Lombard Ave
Everett, WA 98201
Phone
(425) 339-6000
Fax
(425) 339-0903
NPI assigned
Aug 30, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Garett Tomsin, DC
Title
Manager
Phone
(425) 339-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH00001378 WA Primary

Addresses

Primary practice location

3105 Lombard Ave
Everett, WA 98201

Mailing address

3105 Lombard Ave
Everett, WA 98201
Phone (425) 339-6000

Other identifiers 1

IdentifierTypeStateIssuer
210044OtherWC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120531000621 WA Part B Supplier - Clinic/Group Practice 9335302397 Receives reassigned benefits from 1 practitioner
Practice locations: Everett, WA

National Provider Directory

National Provider Directory

Locations

3105 Lombard Ave
Everett, WA 98201
Phone (360) 618-3141

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902916919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 LOMBARD AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "98201",
            "telephone_number": "425-339-6000",
            "fax_number": "425-339-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 LOMBARD AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "98201",
            "telephone_number": "425-339-6000",
            "fax_number": "425-339-0903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBHC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOMSIN",
        "authorized_official_first_name": "GARETT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "425-339-6000",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WC",
            "identifier": "210044",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.