Individual provider Active NPI

Endeah Lea Chandler, DC

  • Chiropractor
  • Federal Way, WA
National Provider Identifier
1730725490
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH61006596 Issued in WA
Practice address
33400 13TH PL S
Federal Way, WA 98003-6357
Phone
(909) 730-4418
NPI assigned
Nov 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH61006596 WA Primary

Addresses

Primary practice location

33400 13TH PL S
Federal Way, WA 98003-6357

Mailing address

15205 140TH Way SE Apt J204
Renton, WA 98058-7880
Phone (909) 730-4418

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191223001812 WA Practitioner - Chiropractic 3173957230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Haley Chiropractic P SGroup PAC ID 0143215475, 3 clinicians

Practice addresses (Care Compare)

1919 N Pearl St
Suite A4
Tacoma, WA 98406-2456
Phone (253) 761-0930

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Haley Chiropractic P.S. Chiropractor CurrentSince Jun 1, 2025 Accepting new patients

Locations

1919 N Pearl St
Ste A4
Tacoma, WA 98406
Phone (253) 761-0930

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1730725490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15205 140TH WAY SE APT J204",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980587880",
            "telephone_number": "909-730-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33400 13TH PL S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036357",
            "telephone_number": "909-730-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "ENDEAH",
        "middle_name": "LEA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-18",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61006596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.