Ki Chiropractic, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

KI CHIROPRACTIC, PLLC

Practice address

12000 15TH Ave NE Ste C
Seattle, WA 98125-5093

Phone

(206) 409-9447

Fax

(206) 363-1390

NPI assigned

May 13, 2010

Last updated

May 27, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Connie Amundson, D.C.NPI 1720031545

Title

Member

Phone

(206) 409-9447

Specialties & licenses 1

Addresses

Other names 1

• Mangosteen Dreams Intl., LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Connie Amundson, DC

  • Chiropractor
  • Seattle, WA
  • NPI 1720031545
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464307200000",
    "number": "1306164439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 15TH AVE NE",
            "address_2": "SUITE C",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981255083",
            "telephone_number": "206-409-9447",
            "fax_number": "206-363-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 15TH AVE NE STE C",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981255093",
            "telephone_number": "206-409-9447",
            "fax_number": "206-363-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KI CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-13",
        "last_updated": "2016-05-27",
        "status": "A",
        "authorized_official_last_name": "AMUNDSON",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "206-409-9447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mangosteen Dreams Intl., LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Manasvi Khullar, DO
• Damanjeet Singh Khurana, PHARM.D., RPH
• Hargobind Singh Khurana, M.D.
• Rahul Khurana, MD
• Nicole Sarah Khvalabov, CCC-SLP
• Lee M Kiang, M.D., PH. D.
• Karun Kiani, MD, PHD
• Nicholas Maximilian Kianpoor
• Daniel Nasser Kianpour, M.D.
• Sophia Kibare

• 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 May 27, 2016; 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.