Active NPI
Raymon Kooner, DC
- Chiropractor
- Bellevue, WA
National Provider Identifier
1053404038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHOOO34656
- Practice address
- 10655 NE 4TH St
101
Bellevue, WA 98004-5035 - Phone
- (503) 860-8859
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHOOO34656 | WA | Primary |
Addresses
Primary practice location
10655 NE 4TH St
101
Bellevue, WA 98004-5035
Mailing address
10655 NE 4TH St
101
Bellevue, WA 98004-5035
Phone (503) 860-8859
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHOOO34656 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C1 Renton PLLC | Chiropractor | Current | Accepting new patients |
| Olympic View Chiropractic, PS | Chiropractor | Current | Accepting new patients |
| Tacoma Wellness Center, PLLC | Chiropractor | Past | Accepting new patients |
| Backfire Inc P S | Chiropractor | Past | Accepting new patients |
| On-Site Massage, Inc. | Past | Accepting new patients | |
| Ty C Westenhaver | Chiropractor | Past | Accepting new patients |
| Natural Wellness Center, PS | Chiropractor | Past | Accepting new patients |
| Avise Chiropractic P L L C | Chiropractor | Past | Accepting new patients |
Locations
626 128th St SW
Ste 103B
Everett, WA 98204
Phone (425) 513-1880
3459 S 152nd St
Tukwila, WA 98188
Phone (206) 241-2225
Networks
- WA PPO C-SNP
- devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
Organizations & group practices 9
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.
-
- Physician Assistant
- Bellevue, WA
- NPI 1750754883
-
- Chiropractor
- Everett, WA
- NPI 1093984486
-
- Chiropractor
- Tacoma, WA
- NPI 1851793467
-
- Chiropractor
- Auburn, WA
- NPI 1740912500
-
dba O'Neill Chiropractic
- Health Service Clinic/Center
- Seattle, WA
- NPI 1912197203
Chiropractor
-
- Chiropractor
- Federal Way, WA
- NPI 1679609176
-
- Specialist
- Everett, WA
- NPI 1558531590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309996800000",
"number": "1053404038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10655 NE 4TH ST",
"address_2": "101",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980045035",
"telephone_number": "503-860-8859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10655 NE 4TH ST",
"address_2": "101",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980045035",
"telephone_number": "503-860-8859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOONER",
"first_name": "RAYMON",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2011-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CHOOO34656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.