Deanna Poneman, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH60872629 Issued in WA

Practice address

355 NW Gilman Blvd Ste 105
Issaquah, WA 98027-2401

Phone

(425) 313-0433

NPI assigned

Sep 18, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Way of Life Chiropractic PS

  • Chiropractor
  • Issaquah, WA
  • NPI 1366658890
  NPD (past)

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1245714047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 NW GILMAN BLVD STE 105",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272401",
            "telephone_number": "425-313-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 NW GILMAN BLVD STE 105",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272401",
            "telephone_number": "425-313-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONEMAN",
        "first_name": "DEANNA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60872629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn G. Polcari, PA-C
• Anna Sarai Polk Tyler
• Jason Lynn Polk, D.C.
• Mitsuko Pollard, PH.D.
• Katherine Pond
• Matthew Ponsford, M.A.
• Melissa Pontes
• Elisabeth Porpylev
• Anna Powell
• Power Up Therapy, LLC

• Chiropractor in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.