Individual provider Active NPI

Daren J Penry, DC

  • Chiropractor
  • Kirkland, WA
National Provider Identifier
1548318975
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002809 Issued in WA
Practice address
10518 NE 68TH St
B101
Kirkland, WA 98033-7003
Phone
(425) 889-4701
Fax
(425) 889-4702
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 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 CH00002809 WA Primary

Addresses

Primary practice location

10518 NE 68TH St
B101
Kirkland, WA 98033-7003

Mailing address

10518 NE 68TH St
B101
Kirkland, WA 98033-7003
Phone (425) 889-4701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110215000514 WA Practitioner - Chiropractic 9133309636 Practice locations: Kirkland, WA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10512 NE 68TH St C
Suite 102
Kirkland, WA 98033-7002

10512 Ne68Th St
C102
Kirkland, WA 98033-7002
Phone (425) 889-4701

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Penry Chiropractic PS Chiropractor PastSince Nov 14, 2005 Accepting new patients

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1548318975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10518 NE 68TH ST",
            "address_2": "B101",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337003",
            "telephone_number": "425-889-4701",
            "fax_number": "425-889-4702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10518 NE 68TH ST",
            "address_2": "B101",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337003",
            "telephone_number": "425-889-4701",
            "fax_number": "425-889-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENRY",
        "first_name": "DAREN",
        "middle_name": "J",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.