Organization Active NPI

CK Chiropractic Office, P.S.

  • Chiropractor
  • Silverdale, WA
National Provider Identifier
1043524960
Registry record updated Jan 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60070004 Issued in WA
Legal business name
CK CHIROPRACTIC OFFICE, P.S.
Practice address
2851 NW Kitsap PL
Silverdale, WA 98383-9447
Phone
(360) 692-0181
Fax
(360) 692-3847
NPI assigned
Aug 3, 2010
Last updated
Jan 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2013

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

Authorized official

Name
Dr. Scott Jay Siegel, D.C.NPI 1477695690
Title
President
Phone
(360) 692-0181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60070004 WA Primary

Addresses

Primary practice location

2851 NW Kitsap PL
Silverdale, WA 98383-9447

Mailing address

2851 NW Kitsap PL
Silverdale, WA 98383-9447
Phone (360) 692-0181

Other names 1

  • Brooklyn Heights Chiropractic Office, P.C. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130620000185 WA Part B Supplier - Clinic/Group Practice 4183863319 Receives reassigned benefits from 1 practitioner
Practice locations: Silverdale, WA

National Provider Directory

National Provider Directory

Locations

50 Court St
Ste 611
Brooklyn, NY 11201
Phone (718) 522-2004

2851 NW Kitsap Pl
Silverdale, WA 98383
Phone (360) 692-0181

3212 NW Byron St
Ste 103
Silverdale, WA 98383
Phone (360) 692-2333

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359504000000",
    "number": "1043524960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 NW KITSAP PL",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983839447",
            "telephone_number": "360-692-0181",
            "fax_number": "360-692-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 NW KITSAP PL",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983839447",
            "telephone_number": "360-692-0181",
            "fax_number": "360-692-3847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CK CHIROPRACTIC OFFICE, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-03",
        "last_updated": "2013-01-30",
        "status": "A",
        "authorized_official_last_name": "SIEGEL",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-692-0181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60070004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brooklyn Heights Chiropractic Office, P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Silverdale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.