Individual provider Active NPI

Edwin Walter Kiniry, D.C.

  • Chiropractor
  • Seattle, WA
National Provider Identifier
1518021997
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002379 Issued in WA
Practice address
423 Rainier Ave S
Seattle, WA 98144-2036
Phone
(206) 323-2426
Fax
(206) 323-2472
NPI assigned
Dec 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00002379 WA Primary

Addresses

Primary practice location

423 Rainier Ave S
Seattle, WA 98144-2036

Mailing address

423 Rainier Ave S
Seattle, WA 98144-2036
Phone (206) 323-2426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CH00002379WAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518021997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 RAINIER AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442036",
            "telephone_number": "206-323-2426",
            "fax_number": "206-323-2472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 RAINIER AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442036",
            "telephone_number": "206-323-2426",
            "fax_number": "206-323-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINIRY",
        "first_name": "EDWIN",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.