Individual provider Active NPI

Daryll George Marshall-Inman, D.C.

  • Chiropractor
  • Normandy Park, WA
National Provider Identifier
1942301924
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00003368 Issued in WA
Practice address
17651 1St Ave S
Normandy Park, WA 98148-2715
Phone
(206) 241-3836
Fax
(206) 241-3967
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00003368 WA Primary

Addresses

Primary practice location

17651 1St Ave S
Normandy Park, WA 98148-2715

Mailing address

24114 E Greystone LN
Woodway, WA 98020-5226
Phone (206) 755-1226

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050929000130 WA Practitioner - Chiropractic 6002841962 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Daryll G. Marshall-Inman DC Inc. Chiropractor CurrentSince Sep 1, 2005 Accepting new patients
Leshaw Chiropractic PLLC PastSince Sep 1, 2019 Accepting new patients
Daryll G. Marshall-Inman DC Inc Chiropractor Past Accepting new patients

Locations

17651 1st Ave S
Ste 101
Normandy Park, WA 98148
Phone (206) 241-3826

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208476800000",
    "number": "1942301924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24114 E GREYSTONE LN",
            "city": "WOODWAY",
            "state": "WA",
            "postal_code": "980205226",
            "telephone_number": "206-755-1226",
            "fax_number": "206-533-9254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17651 1ST AVE S",
            "city": "NORMANDY PARK",
            "state": "WA",
            "postal_code": "981482715",
            "telephone_number": "206-241-3836",
            "fax_number": "206-241-3967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL-INMAN",
        "first_name": "DARYLL",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Normandy Park, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.