NPIMap

Organization Active NPI

Lake Meridian Chiropractic

  • Chiropractor
  • Kent, WA
National Provider Identifier
1376592915
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002362 Issued in WA
Legal business name
LAKE MERIDIAN CHIROPRACTIC
Practice address
12901 SE Kent Kangley Rd
Kent, WA 98030-7939
Phone
(253) 630-1575
NPI assigned
May 10, 2006
Last updated
Apr 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Authorized official

Name
Danene M. Saggau, DCNPI 1154470276
Title
President
Phone
(206) 909-4880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00002362 WA Primary

Addresses

Primary practice location

12901 SE Kent Kangley Rd
Kent, WA 98030-7939

Mailing address

12901 SE Kent Kangley Rd
Kent, WA 98030-7939
Phone (253) 630-1575

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050303000653 WA Part B Supplier - Clinic/Group Practice 1850345786 Receives reassigned benefits from 5 practitioners
Practice locations: Kent, WA

National Provider Directory

National Provider Directory

Locations

12901 SE Kent Kangley Rd
Kent, WA 98030
Phone (253) 630-1575

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1376592915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12901 SE KENT KANGLEY RD",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980307939",
            "telephone_number": "253-630-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12901 SE KENT KANGLEY RD",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980307939",
            "telephone_number": "253-630-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE MERIDIAN CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "SAGGAU",
        "authorized_official_first_name": "DANENE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-909-4880",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.