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Dr. Mark D Rutherford , DC

Chiropractor β€’ Lakewood, WA

Active NPI 1700377892 Individual Practitioner Male Practitioner
Practice location in NPPES

11122 Gravelly Lake Dr Sw
Lakewood, WA 984991348

Call 2533558156 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

11122 Gravelly Lake Dr Sw

Lakewood, WA 984991348

Telephone 2533558156
Fax 2069237601
Organization at the Same NPPES Address or Phone
Fircrest Spine Center Llc Facility NPI 1356738645

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Seatac, WA; Seattle, WA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Lakewood and Washington

31 active clinicians are listed under Chiropractor with a practice address in Lakewood, WA (3,009 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lakewood

0% of these 31 clinicians have the CMS telehealth indicator.

12.9% of these 31 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-01-25
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

License # reported to NPPES WA CH00002419

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Npi
1922455161 (WA)

Secondary Practice Locations

15245 Intl Blvd Ste 210

Seatac, WA 981882233

Phone: 2069237600

2326 Rainier Ave S Ste B

Seattle, WA 981445349

Phone: 2063293040

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Business Mailing Address January 25, 2021

Registered at 4916 CENTER ST, STE G, TACOMA, WA 984092348 (Tel: 2539129653)

πŸ“
Updated Business Mailing Address March 18, 2019

Registered at 3901 6TH AVE, TACOMA, WA 984064940 (Tel: 2537567500)

βœ…
NPI Profile Active May 23, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 23, 2018

Registered at 11122 GRAVELLY LAKE DR SW, LAKEWOOD, WA 984991348 (Tel: 2533558156)

πŸ“
Business Mailing Address (Initial Record) May 23, 2018

Registered at 11122 GRAVELLY LAKE DR SW, LAKEWOOD, WA 984991348 (Tel: 2533558156)

πŸ‘€
Provider Name / Credentials (Initial Record) May 23, 2018

Recorded as MARK RUTHERFORD, DC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2018

Chiropractor (license number reported to NPPES: WA CH00002419)

🟒
Initial NPI Registration & Enumeration May 23, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1700377892
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2018
Last Update: January 25, 2021
Sole Proprietor: Yes

Other Chiropractors in Lakewood

All Chiropractors in Lakewood

Mailing Address

4916 Center St, Ste G

Tacoma, WA 984092348

Phone: 2539129653

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.