NPIMap

Organization Active NPI

Mark Rutherford DC

  • Case Management Agency
  • Lakewood, WA
National Provider Identifier
1922455161
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
CH00002419 Issued in WA
Legal business name
MARK RUTHERFORD DC
Practice address
11120 Gravelly Lake Dr SW
Suite 10
Lakewood, WA 98499-1351
Phone
(253) 584-4556
NPI assigned
May 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2016

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

Authorized official

Name
Mark Dean Rutherford, DC
Title
Owner
Phone
(253) 584-4556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X CH00002419 WA Primary

Addresses

Primary practice location

11120 Gravelly Lake Dr SW
Suite 10
Lakewood, WA 98499-1351

Mailing address

11120 Gravelly Lake Dr SW
Suite 10
Lakewood, WA 98499-1337
Phone (253) 584-4556

National Provider Directory

National Provider Directory

Locations

11120 Gravelly Lake Dr SW
Ste 10
Lakewood, WA 98499
Phone (253) 584-4556

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1922455161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11120 GRAVELLY LAKE DR SW",
            "address_2": "SUITE 10",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984991337",
            "telephone_number": "253-584-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11120 GRAVELLY LAKE DR SW",
            "address_2": "SUITE 10",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984991351",
            "telephone_number": "253-584-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK RUTHERFORD DC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "RUTHERFORD",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-584-4556",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WA",
            "license": "CH00002419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.