Kenneth Lynn Sonderleiter Sr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00002562 Issued in WA

Practice address

1606 4TH St Ste E
Marysville, WA 98270-5042

Phone

(360) 659-2938

Fax

(360) 658-0135

NPI assigned

Jul 9, 2006

Sex

Male

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)

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.

• Dennis L. Booth. D.C., PLLC

  • Health Service Clinic/Center
  • Marysville, WA
  • NPI 1063677573
  NPD (past)

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255364683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 4TH ST STE E",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982705042",
            "telephone_number": "360-659-2938",
            "fax_number": "360-658-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 4TH ST STE E",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982705042",
            "telephone_number": "360-659-2938",
            "fax_number": "360-658-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONDERLEITER",
        "first_name": "KENNETH",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peggy Rose Smith
• Ray F Smith, MD
• Devon Snider
• Kelsey Snyder, PHARMD
• Roselee Ann Soch Sr., CERTIFIED NURSES AID
• Fatou M Sonko
• Heather Marie Sorensen, BA
• Elena Victoria Soto
• Kate Soule
• Sound Pain Alliance

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.