Dina Marie Ploegman, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00022250 Issued in WA

Practice address

1505 NW Gilman Blvd
Suite 8
Issaquah, WA 98027

Phone

(425) 313-9222

Fax

(425) 313-9339

NPI assigned

May 1, 2007

Sex

Female

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

Other names 1

• Dina Marie Clark Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Banic Chiropractic Company

  dba Banic Chiropractic Clinic

  • Chiropractor
  • Issaquah, WA
  • NPI 1609069632
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942421474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14853 SE 113TH ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980596007",
            "telephone_number": "425-531-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 NW GILMAN BLVD",
            "address_2": "SUITE 8",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "98027",
            "telephone_number": "425-313-9222",
            "fax_number": "425-313-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOEGMAN",
        "first_name": "DINA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00022250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L AND I",
            "identifier": "0213837",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DINA",
            "last_name": "CLARK",
            "middle_name": "MARIE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rhiannon Irene Place
• Brian J Plaskon, M.D.
• Lora Ann Plaskon, MD
• Plateau Chiropractic LLC (Plateau Chiropractic & Massage)
• Jessika Plescia, ARNP
• Richard John Plunkett, M.D.
• Debra Lynne Poepping, LMFT
• Nicole Pohlers, LMHC
• Lynzi C. Poje, PA-C
• Smita Pokle-Soans, LMP

• Massage Therapist in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Massage Therapist 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.