DR. MUSTAFA MUHAMMAD IDRIS (NPI# 1851635122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851635122 |
| Entity Type | Individual |
| Full Name | DR. MUSTAFA MUHAMMAD IDRIS |
| Credential | DC |
| Practice Address |
3925 159th Ave Ne Building 21 Redmond WA 98052-6309 |
| Mailing Address |
18525 Ne 58th Ct Apt N2105 Redmond WA 98052-6708 |
| Practice Telephone | 4252160550 |
| Practice Fax Number | 4252160552 |
| Mailing Telephone | 4256383092 |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2012-11-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NX0800X |
Chiropractor Specialization: Orthopedic |
CH60261762 | WA | Chiropractic Providers |
| Street Address |
3925 159TH AVE NE BUILDING 21 |
| City | REDMOND |
| State | WA |
| Zip Code | 98052-6309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972588820 | Maria Anne Pielaet | Family Medicine | 3925 159th Ave Ne, Redmond, WA 98052-6309 | 2005-12-14 |
| 1801374814 | Danielle Bethany Dombek | Health Educator | 3925 159th Ave Ne, Redmond, WA 98052-6309 | 2018-08-01 |
| 1477041275 | Kayla Griggs | Radiologic Technologist | 3925 159th Ave Ne, Redmond, WA 98052-6309 | 2018-04-26 |
| 1679092183 | Lisa Henderson | Dietitian, Registered | 3925 159th Ave Ne, Redmond, WA 98052-6309 | 2017-09-15 |
| 1821510777 | Crossover Health Medical Group | Specialist | 3925 159th Ave Ne, Redmond, WA 98052-6309 | 2017-07-12 |
| 1598171100 | Natalie Potts | Dietitian, Registered | 3925 159th Ave Ne, Microsoft Campus Building 22, Redmond, WA 98052-6309 | 2014-07-02 |
| 1033522057 | Monroe Therapeutic Massage | Massage Therapist | 3925 159th Ave Ne, Building 21, Redmond, WA 98052 | 2014-06-06 |
| 1013355411 | Grace Erin Oppenheim | Nurse Practitioner | 3925 159th Ave Ne, Redmond, WA 98052-6309 | 2013-06-06 |
| 1063770196 | Whole Health Medical Group Ohio Prof Corp | Clinic/Center | 3925 159th Ave Ne, Redmond, WA 98052-6309 | 2012-04-26 |
| 1366717373 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3925 159th Ave Ne, Redmond, WA 98052-6309 | 2012-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396301255 | Saraa Abdulateef | Dentist | 16150 Ne 85th St., #212, Redmond, WA 98052 | 2019-05-16 |
| 1174186837 | Zeinab Birjandian | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 98052 | 2019-04-18 |
| 1023584026 | Washington Dental Corporation, PC | Dentist | 17126 Redmond Way, Redmond, WA 98052 | 2018-10-17 |
| 1275047599 | Simeon P Roth | Pharmacist | 8547 Avondale Road Ne, Redmond, WA 98052 | 2017-11-22 |
| 1427560267 | Rania Abou Shadi | Pharmacy | 8862 161st Avenue Ne, Suite 102, Redmond, WA 98052 | 2017-11-02 |
| 1376068981 | Mark W Debourke | Clinic/Center | 7579 Old Redmond Rd, Apt 6, Redmond, WA 98052 | 2017-08-04 |
| 1740712280 | Hyomi Cho | Dentist | 15165 Ne24 Th St, Redmond, WA 98052 | 2017-04-03 |
| 1871033878 | Redmond Ambulatory Surgery Center, LLC | Clinic/Center | 18100 Ne Union Hill Rd Ste 340, Redmond, WA 98052 | 2017-02-24 |
| 1346797933 | Bridger Griffin | Speech-Language Pathologist | 8301 16st Ave Ne, Redmond, WA 98052 | 2016-09-01 |
| 1508313123 | Austin Schieler | Pharmacist | 14480 Ne 24th Street, Redmond, WA 98052 | 2016-09-01 |
| Find all providers in zip 98052 | ||||
| Taxonomy Code | 111NX0800X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Orthopedic |
| Chiropractic Orthopedics is defined as that branch of chiropractic medicine that includes the continued acquisition of knowledge relative to both normal functions and diseases of the human body as they relate to the bones, joints, capsules, discs, muscles, ligaments, tendons, their complete neurological and vascular components, referred organ systems and contiguous tissues. This also includes the development and perfection of skills relative to health maintenance when such exists and when not, the investigations, historical review, physical detection, correlative diagnosis development and complete management of any disorder within the bounds defined herein. Also necessary is the delivery of the combined knowledge and skill on a primary basis to patients who both need and desire this service to the eventual outcome of remissions, whenever resolution is not readily achievable. In addition the certified chiropractic orthopedist provides consultation services at the request of other qualified doctors seeking assistance in the care of their patients. The chiropractic orthopedist may also engage in the teaching and or research of subjects and materials relevant to pursuing the quest for knowledge in the ever changing field of the orthopedic specialty. |
| Notes: Source: American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205907813 | Michael P Thille | Chiropractor | 117 Nw Larch Ave, Redmond, OR 97756-1322 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073768784 | John William Wilcox | Chiropractor | 41 148th Ave Ne, Suite 2, Bellevue, WA 98007 | 2008-11-21 |
| 1568644177 | Patrick J. Hickman D.c.p.s. | Chiropractor | 312 S Balsam St, Suite A, Moses Lake, WA 98837-1796 | 2007-12-05 |
| 1881875482 | Lawrence John Kalapus | Chiropractor | 20619 42nd Ave E, Spanaway, WA 98387-6709 | 2007-11-25 |
| 1407037831 | Mars Hill Health Inc | Chiropractor | 25854 108th Ave Se, Kent, WA 98030-7737 | 2007-11-14 |
| 1134334261 | Alliance Chiropractic, Inc | Chiropractor | 2946 Eastlake Ave E, Seattle, WA 98102-3010 | 2007-05-11 |
| 1073635413 | Masahiro Takakura | Chiropractor | 7621 Aurora Ave N, Seattle, WA 98103-4749 | 2007-04-05 |
| 1508923277 | Cathy Ann Bangerter | Chiropractor | 10025 Ne 183rd St, Bothell, WA 98011-3421 | 2007-01-02 |
| 1922177476 | Alan E. Sinner | Chiropractor | 203 15th Ave. S.e., Puyallup, WA 98372 | 2006-11-07 |
| 1932285822 | James Snyder | Chiropractor | 2909 W Northwest Blvd, Spokane, WA 99205-2378 | 2006-10-31 |
| 1225110216 | Raymond Theodore Hanson | Chiropractor | 603 E 8th St, Port Angeles, WA 98362-6251 | 2006-10-19 |
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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.