Phillip J Kriss, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00001752 Issued in WA

Practice address

27203 216TH Ave SE
Suite 1
Maple Valley, WA 98038-3273

Phone

(425) 432-4621

Fax

(425) 432-6495

NPI assigned

Oct 6, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Canyon Crossing Chiropractic PSGroup PAC ID 0143530998, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Canyon Crossing Chiropractic PS

  • Preferred Provider Organization
  • Puyallup, WA
  • NPI 1659741858
  Medicare reassignment Care Compare group NPD
• Pearson Chiropractic PLLC

  • Rehabilitation Chiropractor
  • Covington, WA
  • NPI 1235337940
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233792000000",
    "number": "1467549949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27203 216TH AVENUE SE",
            "address_2": "SUITE 1",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980385510",
            "telephone_number": "425-432-4621",
            "fax_number": "425-432-6495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27203 216TH AVE SE",
            "address_2": "SUITE 1",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980383273",
            "telephone_number": "425-432-4621",
            "fax_number": "425-432-6495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISS",
        "first_name": "PHILLIP",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2009-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRY",
            "identifier": "0062692",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy D Konvalin, MPT
• Isha Debrea Kora
• Richard Wesley Koss, DO
• Emma Alice Kowalinski, MS, LMFT, MDFT
• Kriss Chiropractic PS
• Eddie Mugo Kuira
• Elvina Kuzmich, MS
• L Carlos Morales DDS PS
• Tanya Marie Labrador
• Victoria Labrie, ATC

• Chiropractor in Maple Valley, WA
• Providers in Maple Valley, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; 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.

Verify at the official NPI Registry.