Active NPI
Marvin I Kunikiyo, D.C.
- Chiropractor
- Lacey, WA
National Provider Identifier
1447355482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00002656
- Practice address
- 5401 Corporate Center Loop SE
Ste R
Lacey, WA 98503-5606 - Phone
- (360) 918-8782
- Fax
- (360) 972-2096
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- No
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 | CH00002656 | WA | Primary |
Addresses
Primary practice location
5401 Corporate Center Loop SE
Ste R
Lacey, WA 98503-5606
Mailing address
5401 Corporate Center Loop SE
Ste R
Lacey, WA 98503-5606
Phone (360) 918-8782
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 173617 | Other | WA | LABOR & INDUSTRIES |
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
- Palmer College Chiropractic - West Sunnyvale, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5401 Corporate Ctr Loop SE
Suite R
Lacey, WA 98503-5606
Phone (360) 918-8782
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH00002656 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rainier Chiropractic Clinic | Chiropractor | 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.
-
- Chiropractor
- Lacey, WA
- NPI 1932469657
-
- Chiropractor
- Yelm, WA
- NPI 1831122373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537142400000",
"number": "1447355482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5401 CORPORATE CENTER LOOP SE",
"address_2": "STE R",
"city": "LACEY",
"state": "WA",
"postal_code": "985035606",
"telephone_number": "360-918-8782",
"fax_number": "360-972-2096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5401 CORPORATE CENTER LOOP SE",
"address_2": "STE R",
"city": "LACEY",
"state": "WA",
"postal_code": "985035606",
"telephone_number": "360-918-8782",
"fax_number": "360-972-2096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUNIKIYO",
"first_name": "MARVIN",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2018-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00002656",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "173617",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lacey, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; 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.