Active NPI
Kirkwood Spine PLLC
Doing business as One Source Burien
- Chiropractor
- Burien, WA
National Provider Identifier
1558115188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- KIRKWOOD SPINE PLLC
- Doing business as
- One Source Burien
- Practice address
- 15217 1St Ave S
Burien, WA 98148-1009 - Phone
- (206) 244-8805
- NPI assigned
- Apr 11, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel J Delucchi, DC
- Title
- Owner
- Phone
- (425) 908-9545
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary | ||
| Massage Therapist | 225700000X |
Addresses
Primary practice location
15217 1St Ave S
Burien, WA 98148-1009
Mailing address
6711 126TH St SE
Snohomish, WA 98296-8652
Phone (425) 908-9545
Other names 1
- ONE SOURCE BURIEN
National Provider Directory
National Provider DirectoryLocations
15217 1st Ave S
Burien, WA 98148
Phone (206) 244-8805
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Seattle, WA
- NPI 1730533464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712793600000",
"number": "1558115188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6711 126TH ST SE",
"city": "SNOHOMISH",
"state": "WA",
"postal_code": "982968652",
"telephone_number": "425-908-9545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15217 1ST AVE S",
"city": "BURIEN",
"state": "WA",
"postal_code": "981481009",
"telephone_number": "206-244-8805"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIRKWOOD SPINE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-11",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A",
"authorized_official_last_name": "DELUCCHI",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "425-908-9545",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ONE SOURCE BURIEN",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Burien, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.