Individual provider Active NPI

Diann Kale, DC, FICCI

  • Radiology Chiropractor
  • East Wenatchee, WA
National Provider Identifier
1023119328
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology ChiropractorTaxonomy code 111NR0200X
License
CH00001133 Issued in WA
Practice address
100 Valley Mall Parkway
Suite 5
East Wenatchee, WA 98802-5348
Phone
(509) 884-2339
Fax
(509) 884-4720
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Chiropractor 111NR0200X CH00001133 WA Primary

Addresses

Primary practice location

100 Valley Mall Parkway
Suite 5
East Wenatchee, WA 98802-5348

Mailing address

100 Valley Mall Pkwy
Suite 5
East Wenatchee, WA 98802-5348
Phone (509) 884-2339

Other identifiers 3

IdentifierTypeStateIssuer
74999OtherWAL & I
0911462790-00OtherWAMEDICADE
G000315137OtherWAMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH00001133WAMDRadiology Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Krueger Chiropractic PLLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1023119328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 VALLEY MALL PKWY",
            "address_2": "SUITE 5",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988025348",
            "telephone_number": "509-884-2339",
            "fax_number": "509-884-4720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 VALLEY MALL PARKWAY",
            "address_2": "SUITE 5",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988025348",
            "telephone_number": "509-884-2339",
            "fax_number": "509-884-4720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALE",
        "first_name": "DIANN",
        "name_prefix": "Dr.",
        "credential": "DC, FICCI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "WA",
            "license": "CH00001133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "74999",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICADE",
            "identifier": "0911462790-00",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "G000315137",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.