Individual provider Active NPI

Ronnie Sikka, D.C,

  • Chiropractor
  • Everett, WA
National Provider Identifier
1700913662
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00033910 Issued in WA
Practice address
711 112TH St SE
Suite C
Everett, WA 98208-5283
Phone
(206) 992-2561
NPI assigned
Feb 27, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00033910 WA Primary

Addresses

Primary practice location

711 112TH St SE
Suite C
Everett, WA 98208-5283

Mailing address

711 112TH St SE
Suite C
Everett, WA 98208-5283
Phone (206) 992-2561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071204000218 WA Practitioner - Chiropractic 0648371369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

711 112TH St SE
Unit C
Everett, WA 98208-5283
Phone (425) 355-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH00033910WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Wellness Center,PLLC Chiropractor CurrentSince Feb 1, 2007 Accepting new patients
Northgate Chiropractic PLLC Chiropractor PastSince May 1, 2006 Accepting new patients
Chang Chiropractic, PLLC Chiropractor PastSince Feb 1, 2007 Accepting new patients

Locations

711 112th St SE
Ste C
Everett, WA 98208
Phone (206) 992-2561

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700913662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 112TH ST SE",
            "address_2": "SUITE C",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982085283",
            "telephone_number": "206-992-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 112TH ST SE",
            "address_2": "SUITE C",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982085283",
            "telephone_number": "206-992-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIKKA",
        "first_name": "RONNIE",
        "name_prefix": "Dr.",
        "credential": "D.C,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00033910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, 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.
  • 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.