Active NPI
Enayat Niakan, M.D.
- Neuromusculoskeletal Medicine & OMM Physician
- Bremerton, WA
National Provider Identifier
1932213261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- License
- 25122
- Practice address
- 2720 Clare Ave
Suite C
Bremerton, WA 98310-3374 - Phone
- (360) 377-9079
- Fax
- (360) 377-3262
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 25122 | WA | Primary |
Addresses
Primary practice location
2720 Clare Ave
Suite C
Bremerton, WA 98310-3374
Mailing address
2720 Clare Ave
Suite C
Bremerton, WA 98310-3374
Phone (360) 377-9079
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25122 | WA | MD | Neuromusculoskeletal Medicine & OMM Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932213261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2720 CLARE AVE",
"address_2": "SUITE C",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983103374",
"telephone_number": "360-377-9079",
"fax_number": "360-377-3262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 CLARE AVE",
"address_2": "SUITE C",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983103374",
"telephone_number": "360-377-9079",
"fax_number": "360-377-3262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIAKAN",
"first_name": "ENAYAT",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "WA",
"license": "25122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bremerton, WA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.