Ian R Congdon, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH60115439 Issued in WA

Practice address

10212 5TH Ave NE Ste 120
Seattle, WA 98125-7471

Phone

(206) 641-7707

Fax

(206) 641-7709

NPI assigned

Oct 13, 2009

Sex

Male

Sole proprietor

Yes

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

Cleveland Chiropractic College - Los Angeles, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ian Congdon, Seattle Chiropractor

  • Chiropractor
  • Seattle, WA
  • NPI 1942729462
  NPD (past) Authorized official
• W.C.C.P.S.

  dba Washington Chiropractic Center

  • Chiropractor
  • Seattle, WA
  • NPI 1801937974
  NPD (past)

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1568797371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10212 5TH AVE NE STE 120",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981257471",
            "telephone_number": "206-641-7707",
            "fax_number": "206-641-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10212 5TH AVE NE STE 120",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981257471",
            "telephone_number": "206-641-7707",
            "fax_number": "206-641-7709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2817 NE 55th St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981055529",
            "country_code": "US",
            "telephone_number": "206-524-5444",
            "fax_number": "206-524-0709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONGDON",
        "first_name": "IAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60115439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DEPARTMENT OF LICENSING",
            "identifier": "CH60115439",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelvin T. Conerly, RRT
• Meaghan Coneys, LCSW
• Confident Nutrition LLC (Confident Nutrition)
• Elena Marie Conforti
• Debra Marie Congdon
• Johanna Congdon
• Sean Patrick Congdon, N.D.
• Karen Conger, R.D.
• Sarah Conger, MS, CCC-SLP
• Jay Isaac Conhaim, MD

• Chiropractor in Seattle, WA
• Providers in Seattle, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.