Active NPI
Koki Kobata, D.C.
- Chiropractor
- Bellevue, WA
National Provider Identifier
1366590754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00003604
- Practice address
- 15100 SE 38TH St
Suite 305-B
Bellevue, WA 98006-1728 - Phone
- (425) 289-0092
- Fax
- (425) 289-0095
- NPI assigned
- Jan 8, 2007
- 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 | CH00003604 | WA | Primary |
Addresses
Primary practice location
15100 SE 38TH St
Suite 305-B
Bellevue, WA 98006-1728
Mailing address
15100 SE 38TH St
Ste 305B
Bellevue, WA 98006-1728
Phone (425) 289-0092
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
- Other, 1998
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
14700 NE 8TH St
Suite 115
Bellevue, WA 98007-4115
Phone (425) 644-8386
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellnessone of Eastgate, PS | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba WellnessOne Chiropractic
- Health Service Clinic/Center
- Bellevue, WA
- NPI 1750653374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366590754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15100 SE 38TH ST",
"address_2": "STE 305B",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980061728",
"telephone_number": "425-289-0092",
"fax_number": "425-289-0095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15100 SE 38TH ST",
"address_2": "SUITE 305-B",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980061728",
"telephone_number": "425-289-0092",
"fax_number": "425-289-0095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOBATA",
"first_name": "KOKI",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00003604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.