Individual provider Active NPI

Anna Gorbachuk, DC

  • Chiropractor
  • Burien, WA
National Provider Identifier
1326809872
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
61516430 Issued in WA
Practice address
612 SW 152ND St
Burien, WA 98166-2213
Phone
(206) 244-1466
NPI assigned
Jan 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 61516430 WA Primary

Addresses

Primary practice location

612 SW 152ND St
Burien, WA 98166-2213

Mailing address

612 SW 152ND St
Burien, WA 98166-2213

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240410002021 WA Practitioner - Chiropractic 5395183297

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15045 5TH Ave SW
Unit 513
Burien, WA 98166-5144

15045 5TH Ave SW Unit
Suite 513
Burien, WA 98166-5144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61516430WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Moss Chiropractic PC Chiropractor PastSince Jan 28, 2024 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1326809872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 SW 152ND ST",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 SW 152ND ST",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662213",
            "telephone_number": "206-244-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORBACHUK",
        "first_name": "ANNA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "61516430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.