Active NPI
Balraj Khakh, DC
- Chiropractor
- Federal Way, WA
National Provider Identifier
1356901839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 60953772
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 60953772 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nordquist Integrated Medicine | Chiropractor | Current | 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.
-
- Integrative Medicine Physician
- Puyallup, WA
- NPI 1033838750
Chiropractor
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.