Individual provider Active NPI

Kris A Sasaki, D.C.

  • Chiropractor
  • Seattle, WA
National Provider Identifier
1043465628
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3847 Issued in OR
Practice address
2014 E Madison St
100
Seattle, WA 98122-2965
Phone
(206) 726-9595
Fax
(206) 320-1468
NPI assigned
Nov 24, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3847 OR Primary
Sports Physician Chiropractor 111NS0005X CH 60126824 WA

Addresses

Primary practice location

2014 E Madison St
100
Seattle, WA 98122-2965

Mailing address

2014 E Madison St
100
Seattle, WA 98122-2965
Phone (206) 726-9595

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
3847ORMDChiropractor
CH 60126824WAMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Functional Health Consulting, LLC CurrentSince Mar 31, 2018 Accepting new patients
Functional Health Consulting, LLC Chiropractor CurrentSince Mar 31, 2018 Accepting new patients
Essential Chiropractic and Associates Inc Chiropractor PastSince Aug 1, 2007 Accepting new patients
Wheeler Chiropractic, P.S. Chiropractor Past Accepting new patients

Locations

1050 140th Ave NE
Ste D
Bellevue, WA 98005
Phone (425) 646-7479

209 E Casino Rd
Ste A
Everett, WA 98208
Phone (425) 355-5222

15 SW Everett Mall Way
Ste G
Everett, WA 98204
Phone (425) 355-5222

11901 NE Village Plz
Ste 261
Kirkland, WA 98034
Phone (425) 814-2800

2014 E Madison St
Ste 100
Seattle, WA 98122
Phone (206) 726-9551

4915 25th Ave NE
Ste 104
Seattle, WA 98105
Phone (206) 315-7998

2914 E Madison St
Ste 109
Seattle, WA 98112
Phone (206) 333-0564

Organizations & group practices 4

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": "1227484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1043465628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 E MADISON ST",
            "address_2": "100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981222965",
            "telephone_number": "206-726-9595",
            "fax_number": "206-320-1468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 E MADISON ST",
            "address_2": "100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981222965",
            "telephone_number": "206-726-9595",
            "fax_number": "206-320-1468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASAKI",
        "first_name": "KRIS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-24",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3847",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "WA",
            "license": "CH 60126824",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; 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.