NPIMap

Organization Active NPI

Functional Health Consulting, LLC

  • Rehabilitation Chiropractor
  • Bellevue, WA
National Provider Identifier
1366991572
Registry record updated Dec 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
CH60126824 Issued in WA
Legal business name
FUNCTIONAL HEALTH CONSULTING, LLC
Practice address
606 120TH Ave NE
Building D, Ste 100
Bellevue, WA 98200
Phone
(425) 688-0223
Fax
(425) 688-0323
NPI assigned
Sep 28, 2016
Last updated
Dec 26, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2017

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

Authorized official

Name
Kris Sasaki, D.C.NPI 1043465628
Title
Owner
Phone
(206) 726-9595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU
Chiropractor 111N00000X CH60126824 WA
Chiropractor 111N00000X NU
Acupuncturist 171100000X NU
Naturopath 175F00000X NU
Physical Therapist 225100000X NU
Massage Therapist 225700000X NU
Rehabilitation Chiropractor 111NR0400X CH60126824 WA Primary

Addresses

Primary practice location

606 120TH Ave NE
Building D, Ste 100
Bellevue, WA 98200

Mailing address

606 120TH Ave NE
Building D, Ste 100
Bellevue, WA 98005
Phone (425) 688-0222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110124000928 WA Part B Supplier - Clinic/Group Practice 1759560709 Receives reassigned benefits from 41 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Seattle, WA; Renton, WA; Everett, WA; Bellevue, WA; Kirkland, WA

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

606 120th Ave NE
Ste 100
Bellevue, WA 98005
Phone (425) 688-0223

606 120th Ave NE
Ste D100
Bellevue, WA 98005
Phone (425) 688-0223

4915 25th Ave NE
Ste 104
Seattle, WA 98105
Phone (206) 315-7998

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514246400000",
    "number": "1366991572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 120TH AVE NE",
            "address_2": "BUILDING D, STE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98005",
            "telephone_number": "425-688-0222",
            "fax_number": "425-688-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 120TH AVE NE",
            "address_2": "BUILDING D, STE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98200",
            "telephone_number": "425-688-0223",
            "fax_number": "425-688-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL HEALTH CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-28",
        "last_updated": "2017-12-26",
        "status": "A",
        "authorized_official_last_name": "SASAKI",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-726-9595",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60126824",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "WA",
            "license": "CH60126824",
            "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 Dec 26, 2017; 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.