Craig Lawrence Kagetsu, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00003636 Issued in WA

Practice address

23100 Pacific Hwy S
201
Des Moines, WA 98198-7281

Phone

(206) 824-9500

Fax

(206) 824-9654

NPI assigned

Feb 23, 2007

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

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midway Healthcare Therapeutics LLCGroup PAC ID 9638154826, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Midway Healthcare Therapeutics LLC

  dba Midway Chiropractic

  • Chiropractor
  • Des Moines, WA
  • NPI 1861436420
  Medicare reassignment Care Compare group NPD Authorized official
• Midway Healthcare Therapeutics LLC

  dba Fairwood Chiropractic Clinic

  • Chiropractor
  • Renton, WA
  • NPI 1861031684
  NPD

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609901081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23100 PACIFIC HWY S",
            "address_2": "201",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981987281",
            "telephone_number": "206-824-9500",
            "fax_number": "206-824-9654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23100 PACIFIC HWY S",
            "address_2": "201",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981987281",
            "telephone_number": "206-824-9500",
            "fax_number": "206-824-9654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAGETSU",
        "first_name": "CRAIG",
        "middle_name": "LAWRENCE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magdalena Johnson, MSW
• Melissa Ann Gaytan Johnson, LMHCA CN
• Bailey Johnston
• Emily Elizabeth Jones, MD
• Aroura Rose Jordan
• Rachel Kalebu, LMHCA
• Jessica Karp
• Carol Jean Kartye, COTA/L
• Julia Ann Katzenmaier, R.T.
• Stephen Kellett, DPT

• Chiropractor in Des Moines, WA
• Providers in Des Moines, WA by specialty
• Chiropractor in Washington

• 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.
• 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.