DR. CALLEN JAMES BLACKBIRD (NPI# 1659504405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659504405 |
| Entity Type | Individual |
| Full Name | DR. CALLEN JAMES BLACKBIRD |
| Credential | D.C. |
| Practice Address |
4957 Lakemont Blvd Se Suite # 175 Bellevue WA 98006-7801 |
| Mailing Address |
4957 Lakemont Blvd Se # 175 Bellevue WA 98006-7801 |
| Practice Telephone | 7155200610 |
| Mailing Telephone | 7155200610 |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2009-08-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH00002951 | WA | Chiropractic Providers |
| Street Address |
4957 LAKEMONT BLVD SE SUITE # 175 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98006-7801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841273794 | Shirley Jean Champoux | Massage Therapist | 4957 Lakemont Blvd Se, Suite C3 Tai Lakemont Physical Therapy, Bellevue, WA 98006-7801 | 2005-11-23 |
| 1568799062 | Michael Erickson, O.d. | Clinic/Center | 4957 Lakemont Blvd Se, Suite C-5, Bellevue, WA 98006-7801 | 2009-11-05 |
| 1184899635 | Brian Daniel Crosier | Physical Therapist | 4957 Lakemont Blvd Se, Ste. C-3, Bellevue, WA 98006-7801 | 2008-04-25 |
| 1487630257 | Therapeutic Associates Inc | Occupational Therapist | 4957 Lakemont Blvd Se, Ste C3, Bellevue, WA 98006-7801 | 2005-12-22 |
| 1548243405 | Megan Gillespie Yount | Physical Therapist | 4957 Lakemont Blvd Se, Ste C3, Bellevue, WA 98006-7801 | 2005-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033602628 | Junmei Jin | Acupuncturist | 4317 Factoria Blvd Se Ste C, Bellevue, WA 98006 | 2018-06-08 |
| 1144733106 | Justin J Ho | Physical Therapist | 12917 Se 38th St Ste 208, Bellevue, WA 98006 | 2017-11-13 |
| 1932507191 | & Foot Specialists of Puget Sound, Ps | Podiatrist | 4140 Factoria Blvd Se Suite 1b, Bellevue, WA 98006 | 2014-12-19 |
| 1437556347 | Hilla Asadi | Naturopath | 12600 Se 38th St. #130, Bellevue, WA 98006 | 2014-11-21 |
| 1023433141 | Lori Anne Price | Speech-Language Pathologist | 12 Lummi Key, Bellevue, WA 98006 | 2014-02-26 |
| 1841628344 | Cohen, Manavi & Pakrvan Inc | Dentist | 3630a Factoria Blvd Se, Bellevue, WA 98006 | 2013-10-17 |
| 1740617836 | Kathleen L Carter | Massage Therapist | 5446 119th Ave Se #d, Bellevue, WA 98006 | 2013-10-03 |
| 1790037547 | Mellissa Ann Ilgen | Dentist | 4100 Factoria Blvd. Se, Suite C, Bellevue, WA 98006 | 2012-10-03 |
| 1982994364 | Hero House | Community/Behavioral Health | 12838 Se 40th Pl, Bellevue, WA 98006 | 2011-04-19 |
| 1356657738 | Lilia Schastlivaya | Massage Therapist | 13210 Se Newport Way, K201, Bellevue, WA 98006 | 2010-08-24 |
| Find all providers in zip 98006 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225679830 | Emmalynne Splichal | Chiropractor | 3407 Birchwood Dr, Bellevue, NE 68123-2364 | 2019-10-04 |
| 1629639711 | Clarissa L Engen | Chiropractor | 2018 156th Ave Ne Ste 135, Bellevue, WA 98007-3825 | 2019-06-28 |
| 1982166682 | Wilhelm Bruno Von Eckroth | Chiropractor | 1800 116th Ave Ne Ste 101, Bellevue, WA 98004-3043 | 2019-04-02 |
| 1649734930 | Onepoint Chiropractic | Chiropractor | 4307 Factoria Blvd Se Ste 2, Bellevue, WA 98006-1936 | 2019-01-30 |
| 1417436429 | Hidden Valley Health LLC | Chiropractor | 1750 112th Ave Ne Ste A208, Bellevue, WA 98004-3765 | 2018-08-09 |
| 1295246080 | William Shiau | Chiropractor | 1407 116th Ave Ne Ste 104, Bellevue, WA 98004-3819 | 2017-10-19 |
| 1487163358 | Cameron Adam Lee | Chiropractor | 11212 Ne 36th Pl Apt E224, Bellevue, WA 98004-7997 | 2017-09-23 |
| 1053761999 | Youngjoo Koh | Chiropractor | 15350 Se 37th St Ste 100, Bellevue, WA 98006-1732 | 2016-06-21 |
| 1700246253 | Mitch Gottschalk | Chiropractor | 320 106th Ave Ne Suite A, Bellevue, WA 98004 | 2016-02-26 |
| 1720452535 | Bridget Walsh | Chiropractor | 735 Orchard Ave, Apt 6, Bellevue, PA 15202-3048 | 2015-11-17 |
| Find all providers in BELLEVUE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.