Active NPI
Vyacheslav A Borisenko, D.C.
- Rehabilitation Chiropractor
- Kent, WA
National Provider Identifier
1689744500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- CH00033992
- Practice address
- 10024 SE 240TH St Ste 119
Kent, WA 98031-5124 - Phone
- (253) 520-7531
- Fax
- (253) 520-6589
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | CH00033992 | WA | Primary |
Addresses
Primary practice location
10024 SE 240TH St Ste 119
Kent, WA 98031-5124
Mailing address
10024 SE 240TH St Ste 119
Kent, WA 98031-5124
Phone (253) 520-7531
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH00033992 | WA | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689744500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10024 SE 240TH ST STE 119",
"city": "KENT",
"state": "WA",
"postal_code": "980315124",
"telephone_number": "253-520-7531",
"fax_number": "253-520-6589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10024 SE 240TH ST STE 119",
"city": "KENT",
"state": "WA",
"postal_code": "980315124",
"telephone_number": "253-520-7531",
"fax_number": "253-520-6589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORISENKO",
"first_name": "VYACHESLAV",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "WA",
"license": "CH00033992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kent, WA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.