NPIMap

Organization Active NPI

Oncken Chiropractic Clinic LLC

  • Chiropractor
  • Bellevue, WA
National Provider Identifier
1154571131
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034438 Issued in WA
Legal business name
ONCKEN CHIROPRACTIC CLINIC LLC
Doing business as
Oncken Chiropractic Clinic
Practice address
14100 SE 36TH St Ste 100
Bellevue, WA 98006-1675
Phone
(425) 614-0680
Fax
(425) 614-0679
NPI assigned
Sep 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Authorized official

Name
Dr. Joshua C. Oncken, D.C.NPI 1740321355
Title
Owner/Chiropractor
Phone
(425) 614-0680

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
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH00034438 WA Primary

Addresses

Primary practice location

14100 SE 36TH St Ste 100
Bellevue, WA 98006-1675

Mailing address

4122 Factoria Blvd SE
Suite 203
Bellevue, WA 98006-4200
Phone (425) 614-0680

Other identifiers 3

IdentifierTypeStateIssuer
1740321355OtherWAINDIVIDUAL NPI
8852061OtherWAMEDICARE GROUP PIN
0193040OtherWADEPARTMENT OF LABOR & INDUSTRIES PROVIDER NUMBER

Other names 1

  • Oncken Chiropractic Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210220000121 WA Part B Supplier - Clinic/Group Practice 5597712034 Receives reassigned benefits from 1 practitioner
Practice locations: Bellevue, WA

National Provider Directory

National Provider Directory

Locations

14100 SE 36th St
Ste 100
Bellevue, WA 98006
Phone (425) 614-0680

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1154571131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4122 FACTORIA BLVD SE",
            "address_2": "SUITE 203",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980064200",
            "telephone_number": "425-614-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 SE 36TH ST STE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061675",
            "telephone_number": "425-614-0680",
            "fax_number": "425-614-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONCKEN CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-25",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "ONCKEN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "425-614-0680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1740321355",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "8852061",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR & INDUSTRIES PROVIDER NUMBER",
            "identifier": "0193040",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oncken Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oncken Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 11, 2021; 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.