Active NPI
Aaron A Ilk, DC
- Chiropractor
- Bellevue, WA
National Provider Identifier
1508967399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 025202CH00003665
- Practice address
- 1750 112TH Ave NE
E165
Bellevue, WA 98004-3752 - Phone
- (425) 827-2302
- Fax
- (425) 454-2579
- NPI assigned
- Sep 26, 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 | 025202CH00003665 | WA | Primary |
Addresses
Primary practice location
1750 112TH Ave NE
E165
Bellevue, WA 98004-3752
Mailing address
1750 112TH Ave NE
E165
Bellevue, WA 98004-3752
Phone (425) 827-2302
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MP903367 | Other | WA | NCMIC |
| AARILK2059 | Other | WA | AWHN |
| 132808 | Other | WA | LABOR AND INDUSTRIES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 2
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Bellevue Spine
- Chiropractor
- Bellevue, WA
- NPI 1689839383
O20050720000108
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1750 112TH Ave NE
Suite E165
Bellevue, WA 98004-3727
Phone (425) 827-2302
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025202CH00003665 | WA | MD | Chiropractor |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212364800000",
"number": "1508967399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 112TH AVE NE",
"address_2": "E165",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043752",
"telephone_number": "425-827-2302",
"fax_number": "425-454-2579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 112TH AVE NE",
"address_2": "E165",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043752",
"telephone_number": "425-827-2302",
"fax_number": "425-454-2579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ILK",
"first_name": "AARON",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2008-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "025202CH00003665",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCMIC",
"identifier": "MP903367",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AWHN",
"identifier": "AARILK2059",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "132808",
"state": "WA"
}
],
"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 Jun 2, 2008; 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.