ALTA DAWNE MAHAN (D.C.) – Chiropractor, NPI 1144242389

ALTA DAWNE MAHAN (D.C.) is a healthcare provider. based in Bonney lake, Washington. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. CH00033625 (WA). The NPI Number for ALTA DAWNE MAHAN (D.C.) is 1144242389

Main info

Female
27 Years Of Experience
Name
ALTA DAWNE MAHAN (D.C.)
NPI
1144242389
Phone
(253) 862-1555
Address
20119 S PRAIRIE RD E
Enumeration Date
24 July 2006
Last Update Date
20 September 2013

Doctor Profile

Medical School Name
PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Secondary Phone
2538621555
Graduation Year
1999 (27 years ago)
PAC ID
3375504947
Group Practice PAC ID
5193786051
Professional Enrollment ID
I20041026001044
Address ID
WA983917935BO20119EXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,415 CHIROPRACTIC in WA

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Provider Addresses for ALTA DAWNE MAHAN (D.C.)

  • 20119, South Prairie Road East, Cedar View, Bonney Lake, Pierce County, Washington, 98391, United States

    BONNEY LAKE, WA 983917935

    Phone: (253) 862-1555

    Fax: (253) 862-1557

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-10-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041026001044IChiropracticWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98941Chiropractic manipulative treatment, 3-4 spinal regions5111$0
View full utilization report →

Insurance plans in this area (ZIP 98391)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193786051View full group profile
NameSpecialtyState
-WA
C H I R O P R A C T I CWA
C H I R O P R A C T I CWA

Reviews

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Frequently asked questions

How do I look up ALTA DAWNE MAHAN (D.C.) by NPI?
Use NPI 1144242389 when you need to reference ALTA DAWNE MAHAN (D.C.) in forms, claims, or directories.
Does this profile mean ALTA DAWNE MAHAN (D.C.) is currently active?
Yes — ALTA DAWNE MAHAN (D.C.) appears active in the national provider directory.
What does ALTA DAWNE MAHAN (D.C.) treat or focus on?
Patients typically see ALTA DAWNE MAHAN (D.C.) under the specialty Chiropractor. Clinical services aligned with this taxonomy classification.
Where is ALTA DAWNE MAHAN (D.C.)'s primary listing?
We display Bonney Lake, Washington because that is what the record indicates for ALTA DAWNE MAHAN (D.C.).
How can I contact ALTA DAWNE MAHAN (D.C.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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