Jose Luis Cervantes, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60288727 Issued in WA

Practice address

13904 100TH Ave NE
Kirkland, WA 98034-5231

Phone

(425) 820-5888

Fax

(425) 820-5022

NPI assigned

Dec 6, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Prentice Family Chiropractic Inc PS

  • Chiropractor
  • Kirkland, WA
  • NPI 1700965563
  NPD (past)

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

{
    "created_epoch": "1417824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417824000000",
    "number": "1992103014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13904 100TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980345231",
            "telephone_number": "425-820-5888",
            "fax_number": "425-820-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13904 100TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980345231",
            "telephone_number": "425-820-5888",
            "fax_number": "425-820-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERVANTES",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "name_prefix": "Mr.",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-06",
        "last_updated": "2014-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60288727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Prosthetics Orthotics, Inc.
• Center for Prosthetics Orthotics, Inc.
• Center for Womens Health at Evergreen
• Centered in Wellness, LLC
• Marie Cermak, RPH
• Eliza K Cha
• Charles Chabal, MD
• Azdel Yakim Chabi-Yaoure
• Andrea Dawn Chamberlain, LMP
• Cassandra Chamberlain

• Massage Therapist in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2014; 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.