NPIMap

Organization Active NPI

Cornerstone Chiropractic Inc PS

  • Chiropractor
  • Everett, WA
National Provider Identifier
1245411362
Registry record updated Jan 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00003256 Issued in WA
Legal business name
CORNERSTONE CHIROPRACTIC INC PS
Practice address
2003 132ND St SE
Suite E
Everett, WA 98208-7140
Phone
(425) 379-6301
Fax
(425) 379-5761
NPI assigned
Nov 16, 2007
Last updated
Jan 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2008

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

Authorized official

Name
Michael J Ilyankoff, D.C.NPI 1942224944
Title
President-Officer
Phone
(425) 379-6301

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00003256 WA Primary
Chiropractor 111N00000X CH00033614 WA

Addresses

Primary practice location

2003 132ND St SE
Suite E
Everett, WA 98208-7140

Mailing address

2003 132ND St SE
Suite E
Everett, WA 98208-7140
Phone (425) 379-6301

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200873600000",
    "number": "1245411362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 132ND ST SE",
            "address_2": "SUITE E",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982087140",
            "telephone_number": "425-379-6301",
            "fax_number": "425-379-5761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 132ND ST SE",
            "address_2": "SUITE E",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982087140",
            "telephone_number": "425-379-6301",
            "fax_number": "425-379-5761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE CHIROPRACTIC INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2008-01-21",
        "status": "A",
        "authorized_official_last_name": "ILYANKOFF",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT-OFFICER",
        "authorized_official_telephone_number": "425-379-6301",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003256",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00033614",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2008; 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.