Derek Loren Cardenas, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH60646142 Issued in WA

Practice address

1100 NE 47TH St Ste 101
Seattle, WA 98105-4685

Phone

(206) 527-0123

Fax

(206) 527-0133

NPI assigned

Apr 6, 2018

Sex

Male

Sole proprietor

No

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

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dech

  dba Ultra Chiropractic

  • Chiropractor
  • Seattle, WA
  • NPI 1295422368
  Medicare reassignment NPD Authorized official
• SCR PS

  dba Ultra Chiropractic

  • Chiropractor
  • Seattle, WA
  • NPI 1447296819
  Medicare reassignment

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1255838223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14030 25TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981253412",
            "telephone_number": "509-851-8592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NE 47TH ST STE 101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054685",
            "telephone_number": "206-527-0123",
            "fax_number": "206-527-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDENAS",
        "first_name": "DEREK",
        "middle_name": "LOREN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60646142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carbon Health Medical Group of California PC (Carbon Health)
• Carbon Health Primary Care of Florida PA
• Yaser Carcora, MD
• Randall Stacy Card
• Brianna Cardenas, DMSC, PA-C, ATC
• Destiny Cardenas
• Michelle A. Cardenas, PA-C
• Isabela Cardim, MD
• Matthew Cardinale, D.O.
• John B Cardinali, PSY.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.