Active NPI
Rockne K Eli
- Chiropractor
- Puyallup, WA
National Provider Identifier
1275638686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3384
- Practice address
- 1203 E Main
Puyallup, WA 98372-3132 - Phone
- (253) 848-2244
- Fax
- (253) 848-1337
- NPI assigned
- Sep 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3384 | WA | Primary |
Addresses
Primary practice location
1203 E Main
Puyallup, WA 98372-3132
Mailing address
1203 E Main
Puyallup, WA 98372-3132
Phone (253) 848-2244
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5877EL | Other | WA | BLUE CROSS BLUE SHIELD |
| 912047546 | Other | WA | BLUE CROSS |
| 0146161 | Other | WA | LABOR AND INDUSTRIES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111205000690 | WA | Practitioner - Chiropractic | 8224203153 | Practice locations: Puyallup, WA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1203 E Main
Puyallup, WA 98372-3132
1203 E Main Ave
Puyallup, WA 98372-3132
Phone (253) 848-2244
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3384 | WA | MD | Chiropractor |
| 025202 | WA | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346198400000",
"number": "1275638686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1203 E MAIN",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983723132",
"telephone_number": "253-848-2244",
"fax_number": "253-848-1337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1203 E MAIN",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983723132",
"telephone_number": "253-848-2244",
"fax_number": "253-848-1337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELI",
"first_name": "ROCKNE",
"middle_name": "K",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2012-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "3384",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "5877EL",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "912047546",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "0146161",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.