Sadeddin Yamlikha, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH61093887 Issued in WA

Practice address

8202 NE State Highway 104 Ste 105
Kingston, WA 98346-9454

Phone

(360) 297-0037

NPI assigned

Aug 24, 2020

Last updated

Aug 24, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Olympic View Chiropractic, PS

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  • NPI 1093984486
  Medicare reassignment NPD
• On-Site Massage, Inc.

  • Specialist
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  • NPI 1558531590
  NPD (past)

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1316550049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8202 NE STATE HIGHWAY 104 STE 105",
            "city": "KINGSTON",
            "state": "WA",
            "postal_code": "983469454",
            "telephone_number": "360-297-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8202 NE STATE HIGHWAY 104 STE 105",
            "city": "KINGSTON",
            "state": "WA",
            "postal_code": "983469454",
            "telephone_number": "360-297-0037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2007 152nd Ave NE",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "WA",
            "postal_code": "980525521",
            "country_code": "US",
            "telephone_number": "425-276-8257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAMLIKHA",
        "first_name": "SADEDDIN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61093887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Weigand
• Tina L Whitney, RC
• Kaylee Willman
• Julia Winkler, MA
• Reyne Lee-Arbuckle Yamane, FNP
• Yvonne James Enterprises LLC (Sound Mobility)
• Brian Edward Zetterberg, DDS
• Jeffrey L Zygar, DDS

• Chiropractor in Kingston, WA
• Providers in Kingston, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.