MR. CARSON EDWARD ODEGARD (NPI# 1487607164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487607164 |
| Entity Type | Individual |
| Full Name | MR. CARSON EDWARD ODEGARD |
| Credential | D.C. |
| Practice Address |
816 6th St S Kirkland WA 98033-6714 |
| Mailing Address |
433 State St Ste. #3 Kirkland WA 98033 |
| Practice Telephone | 4258274646 |
| Practice Fax Number | 4258271941 |
| Mailing Telephone | 4258274646 |
| Mailing Fax Number | 4258271941 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2017-11-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
1558 | WA | Chiropractic Providers |
| N | 302R00000X | Health Maintenance Organization | 1558 | WA | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | REGENCE | OD-0076 | 01 |
| WA | GROUP HEALTH | 010752001 | 01 |
| WA | CIGNA | 391945651 | 01 |
| WA | LABOR & INDUSTRIES | 95126 | 01 |
| Street Address |
816 6TH ST S |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98033-6714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205315710 | Lake Washington Family Chiropractic Pllc | Chiropractor | 816 6th St S, Kirkland, WA 98033-6714 | 2018-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584826 | Raquel Maria Reyes | Interpreter | 11205 Ne 62nd St., Kirkland, WA 98033 | 2020-10-02 |
| 1588146468 | Lake Washington Family Chiropractic, Pllc | Chiropractor | 816 6th Street South, 816 6th Street South, Kirkland, WA 98033 | 2018-09-06 |
| 1316463557 | Tony Jia Ly | Pharmacist | 7224 120th Ave Ne, Kirkland, WA 98033 | 2017-08-18 |
| 1003356403 | Eden Home Health of King County, LLC | Home Health | 733 7th Avenue, Suite 110, Kirkland, WA 98033 | 2017-03-03 |
| 1184170763 | Kirkland Family Dentistry | Dentist | 1715 Market St #104, Kirkland, WA 98033 | 2016-09-01 |
| 1144688565 | Kamala Psychology and Yoga LLC | Psychologist | 603 4th Ave Ste 101, Kirkland, WA 98033 | 2016-01-30 |
| 1245695352 | Ron Massey | Massage Therapist | 11406 Ne 112th St, Kirkland, WA 98033 | 2015-12-17 |
| 1194106039 | John Pham | Internal Medicine | 9426 116th Ave Ne, Kirkland, WA 98033 | 2015-06-16 |
| 1992199970 | Garrison Patrick Wier | Ophthalmology | 625 4th Ave Ste 301, Kirkland, WA 98033 | 2015-03-26 |
| 1871993113 | Abigail Trajtenberg Loomis | Behavioral Analyst | 1003 7th Avenue, Kirkland, WA 98033 | 2014-08-22 |
| Find all providers in zip 98033 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790261444 | Functional Health Consulting, LLC | Chiropractor | 13030 121st Way Ne Ste 102, Kirkland, WA 98034-3008 | 2018-07-16 |
| 1275668980 | Neno Xavier Pribic | Chiropractor | 50 16th Ave, Kirkland, WA 98033-4909 | 2007-02-22 |
| 1689743858 | Michael Joseph Dowling | Chiropractor | 822 6th St S, Kirkland, WA 98033-6714 | 2006-11-06 |
| 1871672881 | Jeremy James Meadows | Chiropractor | 13615 100th Ave Ne, Kirkland, WA 98034-5234 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538624168 | Orca Wellness | Chiropractor | 511 Boren Ave N Ste 301, Seattle, WA 98109-5505 | 2019-02-07 |
| 1528576154 | Jennifer Josephine Righi | Chiropractor | 21727 76th Ave W Ste B, Edmonds, WA 98026-7549 | 2018-01-17 |
| 1053839597 | Michael David Clifton | Chiropractor | 1702 South 72nd Street, Tacoma, WA 98408 | 2017-09-05 |
| 1154784411 | Infinity Sports Rehab | Chiropractor | 17523 Ne 67th Ct, Redmond, WA 98052-4939 | 2016-04-03 |
| 1619346889 | Michael W Bohrnsen LLC | Chiropractor | 15312 E Sprague Ave # 23, Spokane Valley, WA 99037-8861 | 2015-09-17 |
| 1780921726 | Pacific Sport & Spine | Chiropractor | 22426 Woodway Park Rd, Woodway, WA 98020-6170 | 2013-01-10 |
| 1427302546 | Nathan Zane Coppock | Chiropractor | 609 S 48th Ave, Yakima, WA 98908-3614 | 2012-10-29 |
| 1609125632 | Yaroslav Igorevich Klykov | Chiropractor | 375 Meadowbrook Ct Apt 327, Bellingham, WA 98226-7377 | 2012-09-06 |
| 1316215593 | Zachary Nolan Zugschwerdt | Chiropractor | 621 5th Ave N Ste A, Seattle, WA 98109-4241 | 2011-12-02 |
| 1033400734 | Rodney Cal Hair | Chiropractor | 718 N 143rd St Apt 308, Seattle, WA 98133-6969 | 2011-04-28 |
| Find all providers with the same taxonomy | ||||
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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.