Nathaniel Senderoff, DC,LMP

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH61512334 Issued in WA

Practice address

2118 Riverside Dr Ste 105
Mount Vernon, WA 98273-5454

Phone

(360) 424-6104

NPI assigned

Oct 22, 2015

Sex

Male

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

Western States College of Chiropractic, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New SpineGroup PAC ID 1951682012, 2 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 and National Provider Directory roles.

• New Spine

  • Medical Specialty Clinic/Center
  • Mount Vernon, WA
  • NPI 1568906030
  Medicare reassignment Care Compare group NPD
• Cook Chiropractic, PLLC

  • Chiropractor
  • Sedro Woolley, WA
  • NPI 1790114791
  NPD (past)

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1679945273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 PACIFIC ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982263517",
            "telephone_number": "203-606-4538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 RIVERSIDE DR STE 105",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982735454",
            "telephone_number": "360-424-6104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENDEROFF",
        "first_name": "NATHANIEL",
        "name_prefix": "Dr.",
        "credential": "DC,LMP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60569982",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61512334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seattle Vamc
• Second Generation Anesthesia, Inc
• Eric S. Secrist, M.D.
• Nikolas J Seifter, PHARM.D.
• Samantha S Self
• Andriian Sereda, MD
• Meri Louise Cruz Serra
• Leanna Joy Long Serrano, MOT, OTR/L
• Carole Sewell, AS, RN
• Jonathan B. Shafer, M.D.

• Chiropractor in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.