Organization Active NPI

McCracken Chiropractic & Wellness Center, PC

  • Chiropractor
  • Kirkland, WA
National Provider Identifier
1982848982
Registry record updated Jul 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034504 Issued in WA
Legal business name
MCCRACKEN CHIROPRACTIC & WELLNESS CENTER, PC
Practice address
284 Central Way
Kirkland, WA 98033-6104
Phone
(425) 605-8508
Fax
(425) 605-1288
NPI assigned
Apr 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2009

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

Authorized official

Name
Dr. Dana McCracken, D.C.NPI 1629137468
Title
Owner
Phone
(425) 605-8508

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00034504 WA Primary

Addresses

Primary practice location

284 Central Way
Kirkland, WA 98033-6104

Mailing address

284 Central Way
Kirkland, WA 98033-6104
Phone (425) 605-8508

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090713000627 WA Part B Supplier - Clinic/Group Practice 4688726227 Receives reassigned benefits from 1 practitioner
Practice locations: Kirkland, WA

National Provider Directory

National Provider Directory

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": "1240358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247097600000",
    "number": "1982848982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 CENTRAL WAY",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980336104",
            "telephone_number": "425-605-8508",
            "fax_number": "425-605-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 CENTRAL WAY",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980336104",
            "telephone_number": "425-605-8508",
            "fax_number": "425-605-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCRACKEN CHIROPRACTIC & WELLNESS CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-22",
        "last_updated": "2009-07-09",
        "status": "A",
        "authorized_official_last_name": "MCCRACKEN",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-605-8508",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; 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.