Dream Destiny PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00003193 Issued in WA

Legal business name

DREAM DESTINY PC

Practice address

4330 S 179TH St
Seatac, WA 98188-4141

Phone

(563) 321-1698

NPI assigned

Mar 2, 2010

Last updated

Mar 2, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brenda K. Mohr, DC

Title

President

Phone

(563) 321-1698

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267488000000",
    "number": "1962725150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 S 179TH ST",
            "city": "SEATAC",
            "state": "WA",
            "postal_code": "981884141",
            "telephone_number": "563-321-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 S 179TH ST",
            "city": "SEATAC",
            "state": "WA",
            "postal_code": "981884141",
            "telephone_number": "563-321-1698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAM DESTINY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-02",
        "last_updated": "2010-03-02",
        "status": "A",
        "authorized_official_last_name": "MOHR",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-321-1698",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica S Cosio, LMT
• Susana P Cruz Amaya
• David M. Scheer Chiropractic Corp. PS
• Don Anselm Davis, M.D.
• Nikhil Desai, D.O.
• Maria Luisa Dy, MD
• Mohamed Elameen
• Renee T. Ellis, LMP
• Lindsey Engeset, MA, CCC-A
• Sigal Erez, SLP-CCC

• Chiropractor in Seatac, WA
• Providers in Seatac, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; 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.