Kais A Faddah, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00002601 Issued in WA

Practice address

22647 NE Inglewood Hill Rd
Sammamish, WA 98074-7105

Phone

(425) 868-9593

NPI assigned

Feb 2, 2007

Last updated

Oct 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Plateau Chiropractic Clinic

  • Chiropractor
  • Sammamish, WA
  • NPI 1366630089
  Authorized official Same address or phone
• Andrew Marrone Professional Services, P.S.

  • Chiropractor
  • Everett, WA
  • NPI 1427362094
  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1417095134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22647 NE INGLEWOOD HILL RD",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980747105",
            "telephone_number": "425-868-9593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22647 NE INGLEWOOD HILL RD",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980747105",
            "telephone_number": "425-868-9593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FADDAH",
        "first_name": "KAIS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Dean Enyeart, P.T.
• Essence Health and Research Foundation (Essence Health & Research (EH&R))
• Randa Raafat Riad Estawrow, PHARMACIST
• Joellen Estvold, MD
• Eyecare Partners, PLLC (Arbor Eyecare)
• Victor L Fairchild
• Maria Faires, RD
• Family Eye & Contact Lens Center, P.S. (NewVision Eyecare)
• Alessandra Kelly Farno
• Susan Feagan-Beymer

• Chiropractor in Sammamish, WA
• Providers in Sammamish, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.