Jordan Thomas Kalil, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

60985695 Issued in WA

Practice address

15100 SE 38TH St Ste 305B
Bellevue, WA 98006-1763

Phone

(425) 289-0092

Fax

(425) 289-0095

NPI assigned

Oct 29, 2019

Last updated

Oct 29, 2019By 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

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.

• Dynamic Chiropractic Clinic of Bellevue PLLC

  dba Dynamic Chiros

  • Chiropractor
  • Redmond, WA
  • NPI 1225256407
  Medicare reassignment NPD
• CWC Group, PS

  • Chiropractor
  • Bellevue, WA
  • NPI 1831659424
  NPD
• Wellnessone of Eastgate, PS

  dba WellnessOne Chiropractic

  • Chiropractor
  • Bellevue, WA
  • NPI 1881883460
  NPD
• Wellnessone of Eastgate, PS

  dba WellnessOne Chiropractic

  • Health Service Clinic/Center
  • Bellevue, WA
  • NPI 1750653374
  NPD (past)

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1326682741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 74TH AVE SE",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402328",
            "telephone_number": "206-949-0276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15100 SE 38TH ST STE 305B",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061763",
            "telephone_number": "425-289-0092",
            "fax_number": "425-289-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALIL",
        "first_name": "JORDAN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "60985695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxim Kakurin
• Tomoko Kakutani, L.AC, M.S.
• Eline Kalamkaryan, MD
• Kaleidoscope LLC (Kaleidoscope Behavior)
• Jasika Kalia
• Kalinowski Chiropractic
• Isabelle Mutsa Kalisa
• Sarinah Kally
• Kristin Mellone Kalning
• Allan K.C. Kam, P.T.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.