NPIMap

Organization Active NPI

Dech

  • Chiropractor
  • Seattle, WA
National Provider Identifier
1295422368
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DECH
Practice address
1100 NE 47TH St Ste 101
Seattle, WA 98105-4685
Phone
(206) 527-0123
Fax
(206) 527-0133
NPI assigned
Apr 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Authorized official

Name
Dr. Derek Loren Cardenas, DCNPI 1255838223
Title
President
Phone
(509) 851-8592

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

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

Mailing address

1100 NE 47TH St Ste 101
Seattle, WA 98105-4685
Phone (206) 527-0123

Other names 1

  • Ultra Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230703001819 WA Part B Supplier - Clinic/Group Practice 3577922988 Receives reassigned benefits from 1 practitioner
Practice locations: Seattle, WA

National Provider Directory

National Provider Directory

Locations

1100 NE 47th St
Ste 101
Seattle, WA 98105
Phone (206) 527-0123

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1295422368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "organization_name": "DECH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A",
        "authorized_official_last_name": "CARDENAS",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "LOREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-851-8592",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ultra Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ultra Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.