Kendra L Buchholz, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH60502337 Issued in WA

Practice address

13028 Interurban Ave S
Suite 106
Tukwila, WA 98168-3340

Phone

(206) 957-7950

Fax

(206) 957-7952

NPI assigned

Aug 20, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gonstead Chiropractic of Seattle PCGroup PAC ID 8426313404, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Gonstead Chiropractic of Seattle PC

  • Chiropractor
  • Tukwila, WA
  • NPI 1346738408
  Medicare reassignment Care Compare group NPD Authorized official
• South Shore Family Chiropractic

  • Chiropractor
  • South Milwaukee, WI
  • NPI 1134458805
  NPD (past)

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424217600000",
    "number": "1639485279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13028 INTERURBAN AVE S",
            "address_2": "SUITE 106",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981683340",
            "telephone_number": "206-957-7950",
            "fax_number": "206-957-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13028 INTERURBAN AVE S",
            "address_2": "SUITE 106",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981683340",
            "telephone_number": "206-957-7950",
            "fax_number": "206-957-7952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHHOLZ",
        "first_name": "KENDRA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-20",
        "last_updated": "2015-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60502337",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4644-12",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Brown, CDP
• Lisa M Brown, AA
• James Trevor Bryant, PT
• Ingrid Buchan, LICSWA
• Glenda Diann Buchanan, LMHC
• Lauren Buckham, ARNP
• Robert Buda, D.D.S., M.S.
• Vicky V Bui
• Amber Burgh
• Sharon Burks, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; 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.