Individual provider Active NPI

Aaron Joseph Placke, DC

  • Chiropractor
  • Kent, WA
National Provider Identifier
1265719793
Registry record updated Nov 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60258302 Issued in WA
Practice address
12901 SE Kent Kangley Rd
Kent, WA 98030-7939
Phone
(253) 630-1575
Fax
(253) 630-4650
NPI assigned
Nov 11, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60258302 WA Primary

Addresses

Primary practice location

12901 SE Kent Kangley Rd
Kent, WA 98030-7939

Mailing address

12901 SE Kent Kangley Rd
Kent, WA 98030-7939
Phone (253) 630-1575

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120209000111 WA Practitioner - Chiropractic 9133386782 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Starbright TamarackGroup PAC ID 7012138233, 2 clinicians

Practice addresses (Care Compare)

16704 International Blvd
Seatac, WA 98188-3116
Phone (206) 246-8830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH60258302WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Starbright Tamarack Chiropractor CurrentSince May 24, 2015 Accepting new patients
Lake Meridian Chiropractic Chiropractor CurrentSince Jan 1, 2012 Accepting new patients

Locations

12901 SE Kent Kangley Rd
Kent, WA 98030
Phone (253) 630-1575

16704 International Blvd
Seatac, WA 98188
Phone (206) 246-8830

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1320969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320969600000",
    "number": "1265719793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12901 SE KENT KANGLEY RD",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980307939",
            "telephone_number": "253-630-1575",
            "fax_number": "253-630-4650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12901 SE KENT KANGLEY RD",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980307939",
            "telephone_number": "253-630-1575",
            "fax_number": "253-630-4650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLACKE",
        "first_name": "AARON",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-11",
        "last_updated": "2011-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60258302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2011; 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.