NPIMap

Organization Active NPI

Kirkland Life Chiropractic, P.S.

  • Rehabilitation Chiropractor
  • Kirkland, WA
National Provider Identifier
1184827800
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
DC3653 Issued in WA
Legal business name
KIRKLAND LIFE CHIROPRACTIC, P.S.
Practice address
13116 NE 70TH PL
Kirkland, WA 98033-8571
Phone
(425) 576-5433
Fax
(425) 803-5044
NPI assigned
Jun 8, 2007
Last updated
Mar 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Authorized official

Name
Dr. Deborah Renee Adams, D.C.
Title
Owner
Phone
(425) 576-5433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X DC3653 WA Primary

Addresses

Primary practice location

13116 NE 70TH PL
Kirkland, WA 98033-8571

Mailing address

13116 NE 70TH PL
Kirkland, WA 98033-8571
Phone (425) 576-5433

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100115000124 WA Part B Supplier - Clinic/Group Practice 8224170154 Receives reassigned benefits from 3 practitioners
Practice locations: Kirkland, WA

National Provider Directory

National Provider Directory

Locations

13116 NE 70th Pl
Kirkland, WA 98033
Phone (425) 576-5433

Practitioners & affiliated clinicians

Practitioners 12

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": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1184827800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13116 NE 70TH PL",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980338571",
            "telephone_number": "425-576-5433",
            "fax_number": "425-803-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13116 NE 70TH PL",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980338571",
            "telephone_number": "425-576-5433",
            "fax_number": "425-803-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRKLAND LIFE CHIROPRACTIC, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-576-5433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "WA",
            "license": "DC3653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.