Robert R Kardly, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00034097 Issued in WA

Practice address

35 NW 1St St
Coupeville, WA 98239-3141

Phone

(360) 678-3288

NPI assigned

Mar 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Los Angeles, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Skagit Island Rehabilitation Group

  dba Coupeville Physical Therapy

  • Physical Therapist
  • Coupeville, WA
  • NPI 1467432088
  NPD (past)
• Village Chiropractic Center

  • Chiropractor
  • Langley, WA
  • NPI 1063619278
  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1750413563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 NW 1ST ST",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982393141",
            "telephone_number": "360-678-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 NW 1ST ST",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982393141",
            "telephone_number": "360-678-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARDLY",
        "first_name": "ROBERT",
        "middle_name": "R",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUESHIELD",
            "identifier": "5724KA",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0174143",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raven L.E. Jirikovic
• Brigit Rose Johnson
• Kristina Katarina Johnstone, ARNP
• Carla M Jolley, MN, ARNP, ACHPN
• Marie Blake Kaiser, M.S.W.,. A.C.S.W.,
• Kulvinder Kaur, RDMS, RVT
• Michael Dennis Kazel, DO
• Talor Marie Kebel
• Chrysalis Cheyenne Kendall, OTR/L
• Kids Club Counseling LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.