Active NPI
Stephen Alexander Gootkind, DC
- Chiropractor
- Sammamish, WA
National Provider Identifier
1306064282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00003123
- Practice address
- 4556 Klahanie Dr SE
Sammamish, WA 98029-5812 - Phone
- (425) 391-5050
- Fax
- (425) 391-0758
- NPI assigned
- Apr 23, 2007
- 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 | CH00003123 | WA | Primary |
Addresses
Primary practice location
4556 Klahanie Dr SE
Sammamish, WA 98029-5812
Mailing address
4556 Klahanie Dr SE
Sammamish, WA 98029-5812
Phone (425) 391-5050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH00003123 | WA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582243200000",
"number": "1306064282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4556 KLAHANIE DR SE",
"city": "SAMMAMISH",
"state": "WA",
"postal_code": "980295812",
"telephone_number": "425-391-5050",
"fax_number": "425-391-0758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4556 KLAHANIE DR SE",
"city": "SAMMAMISH",
"state": "WA",
"postal_code": "980295812",
"telephone_number": "425-391-5050",
"fax_number": "425-391-0758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOOTKIND",
"first_name": "STEPHEN",
"middle_name": "ALEXANDER",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-23",
"last_updated": "2020-02-21",
"certification_date": "2020-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00003123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sammamish, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.