Individual provider Active NPI

Balraj Khakh, DC

  • Chiropractor
  • Federal Way, WA
National Provider Identifier
1356901839
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
60953772 Issued in WA
Practice address
1426 S 324TH St Ste B115
Federal Way, WA 98003-8486
Phone
(253) 838-1441
Fax
(253) 838-4345
NPI assigned
Jun 18, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 60953772 WA Primary

Addresses

Primary practice location

1426 S 324TH St Ste B115
Federal Way, WA 98003-8486

Mailing address

11020 SE Kent Kangley Rd Apt Ee102
Kent, WA 98030-7299
Phone (925) 922-2093

Other practice location 1

13003 SE Kent Kangley Rd Ste 110
Kent, WA 98030-7919
Phone (253) 638-2424

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191004002731 WA Practitioner - Chiropractic 2264763275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nordquist Integrated MedicineGroup PAC ID 9234596156, 4 clinicians

Practice addresses (Care Compare)

9909 168TH St E
Suite 102
Puyallup, WA 98375-2513
Phone (253) 445-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60953772WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Nordquist Integrated Medicine Chiropractor CurrentSince Aug 15, 2023 Accepting new patients

Locations

9909 168th St E
Ste 102
Puyallup, WA 98375
Phone (253) 445-3000

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": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1356901839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11020 SE KENT KANGLEY RD APT EE102",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980307299",
            "telephone_number": "925-922-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 S 324TH ST STE B115",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038486",
            "telephone_number": "253-838-1441",
            "fax_number": "253-838-4345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13003 SE Kent Kangley Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Kent",
            "state": "WA",
            "postal_code": "980307919",
            "country_code": "US",
            "telephone_number": "253-638-2424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAKH",
        "first_name": "BALRAJ",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-18",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "60953772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.